Trek is a satire-free zone.
Just spent five minutes staring into space trying come up with an exception to this.
I got nothing.
"Bread and Circuses"--with its gags about commercials and ratings for televised gladitorial death matches?
And, btw, I'm pretty sure all medicine in Star Trek is socialized.
When was the last time you saw Dr. McCoy billing somebody or arguing with an insurance company?