Vote with your wallet, move to Vanuatu. Fine weather, happy people, no income tax, a government so small that the 800 police are also the army. You'll get the joy of being able to keep your entire income (unless you're a landlord). Spend it however you want. Of course, most of the people are subsistence farmers and fishermen, but you'll be able to organise all these private services you want yourself.

Also, private charity is only good for very public, acute problems. It sucks for non-cute things (eg mental health) and for long-term things (someone crippled for life).