2/2
Your health care example is a good one but shows, I think, the attempt of the US to find a middle ground between single-payer and free-market options for health insurance and health care (too often, the two are conflated); a chimera that could not survive.  The bureaucracy was created by the attempt to become more socialized with corporations being the conduit for the majority and government support for a large minority.  The US' experiment in true single-payer is an abject failure; our Vetrans' Administration.

I think it is definitely possible to have a tyranny of the majority but, in a society that is moving toward appeasement of various minorities (non-ethnic; that's a different topic), a tyranny of the minority is emerging as a threat to individual freedoms.  I am not advocating for prejudice or bigotry, but against the mindset that "the best offense is to be offended."

"More fully, the struggle for those protections, is often at the core of our histories?"
Here,here!