The problem is that any non-centralized system will always have some cases that don’t get covered, certainly not immediately and reliably, and doing something effective about those cases seems morally necessary. They are instances of marginalization, so it seems we ought to put them at the center of attention. And given current assumptions about agency and rational action, that means moving toward universal direct government responsibility for everything.
Rejecting that result means rejecting the democratic logic that government acts are our acts, and the technocratic logic that factory-style organization is the way to make sure things happen reliably. That seems possible as a rational matter. A society as big and complex as the United States can’t possibly be run democratically in any sense strong enough to justify identifying acts of the government with acts of the people. And even if it could, the acts wouldn’t be acts of anyone in particular, so they wouldn’t discharge the obligation of Catholics to act justly and charitably.
(source: Catholics and the Administered Society | Catholic World Report – Global Church news and views)
A worthy analysis of the difficulties of balancing Catholic concern for a just social order with the dysfunctions of late capitalism and mass-market democracy.