I want a small effective government and I vote Democrat. From what I can tell Democrats are more focused on actually reducing government spending than Republicans. As to the effects of "large government" look at how many freedoms each side wants to remove and Democrats win again. Limiting how old you need to be to buy video games pales in comparison to the loss of due process etc.

National Heath care might seem like bad voodoo, but the government is already pay for over 1/2 of all medical spending in the US yet medical bills are still the leading cause of bankruptcy in the US. Most countries with a national heath care system spend less money per person and relative to their GDP than we do now and we still have a crappy patchwork. When a hobo shows up at a hospital he is going to get treatment and we are going to pay his bill but I still need to buy expensive medical insurance.

PS: I am a consultant working for the DoD and I have saved the US taxpayer millions. If you had any idea what games where being played you would probably also vote Democrat because it saves you money.