

I would’ve likely been better off with a broader term - something like “the wealthy and empowered few” - particularly since the subject at hand concerns the United States, in which the line between private wealth and power and political power grows more vague and hazy day by day.
But yes - ultimately I conclude government, since government is the entity that has established the legal fiction of corporations, that has acted to protect the private wealth by which the political influence to establish things like a predatory health insurance system can exist and has utterly failed to do one of the few things that is a mandate for a government from the start - to protect citizens from harm brought by others and/or to punish those who bring it.
Or to be more precise, if the government had done its job of protecting Americans from a destructive and predatory health insurance system (as opposed to literally mandating it), Luigi’s vigilantism likely wouldn’t have occurred in the first place, and certainly wouldn’t have had so much support if it had.
But since they didn’t do their job, it happened, and if they continue to not do their job (as it appears they’re determined), then it will happen again, and worse.
The US has a number of institutional failures that need to be addressed if it’s to have any hope of surviving and the Trump presidency is not only not going to address them, but has for all intents and purposes taken it as its mandate to specifically focus on exacerbating them.
It’s dealing with wealth inequality by increasing it. It’s dealing with political corruption by institutionalizing it. It’s dealing with fragile and ineffective public health, public education and social service systems by breaking them. It’s dealing with rapacious corporations by eliminating constraints on them. It’s dealing with climate change by encouraging it. It’s dealing with diminished international stature by alienating literally everyone. It’s dealing with the threat of economic collapse by destroying international markets. It’s dealing with the threat of social unrest by fanning the flames of bigotry and hatred. And on and on.
It’s essentially the equivalent of a cancer patient taking up smoking. In a house lined with asbestos and uranium.
And at that point, it really doesn’t matter who wants to save them or how much they want it.