whom he can hold to with state ...
state engagement/government involvement. *Traitor*, n. A benighted individual who perceives an illusory distinction between serving his nation and abetting the criminals who govern it.
I read that line to mean that "state engagement/involvement" is not an extra point but pertinent to higher education and healthcare, with a "," used where a ":" would have been clearer. Could be wrong. *Traitor*, n. A benighted individual who perceives an illusory distinction between serving his nation and abetting the criminals who govern it.