>>46885605It really is not.
We're introduced to the pokeverse via Kanto, which is a shithole. It's more plausible to say that the Pokemon world has been slowly getting better over time. Cleanlier, safer, etc. But the state we're introduced to it in is absolutely not a utopia.
I don't know if the free health care meme is making you think that, but I'm fairly certain the Pokemon Center is largely, if not exclusively, for the benefit of Trainers, along with a bunch of similar boons. Silver freaks out when he drops his Trainer Card for a reason.