I have been an avid Democracy player for quite a while now and I really do love the game, however one thing has always gotten to me, - the lack of simulation for Political Ideology.
The game almost always forces you to play as a radical liberal if you want to get elected. You have to have full funding for health care, education & the toughest environmental standards if you want to get rid of contagious diseases and the asthma epedemic amongst other things, and it’s impossible [ in my experience ] to get elected again with those two things going. But that’s exactly it, - while I can understand if you had a National Health Care system and it was severely underfunded that may happen, if you have a top-notch private system and the vast majority of people are getting quality health care and your playing as a Conservative, - then you wouldn’t have this contagious disease.
That’s just one example. From policing to welfare, you always are forced to an extreme.
I think you should have an option to privatize Health Care/education/transports etc etc, and then depending on factors such as personal wealth of your citizens for Health Care, it would either work out well or be a total disaster.