A good universal healthcare system wouldn't have these issues but, much with a nod to the ACA, would we manage to accomplish a good system or would that system still be riddled with rent-seeking opportunities to protect the employment and profits that the current players extract?
The US seems to have real problems with regulatory capture (especially with recent political happenings where we're seeing tariffs implemented that specifically hurt competitors to those with influence in government) so I think it's important to not fall into a trap of believing you'd walk away with a wonderful healthcare system even if something like medicare for all happened. The entrenched interests would continue to exact their pounds of flesh unless a real sea change was seen away from the current status quo.
I do hope it happens though, I'm a Canadian and my employment is dependent on your system continuing as an entangled morass but I'd happily be out of a job if it meant more equitable access to care.
The US seems to have real problems with regulatory capture (especially with recent political happenings where we're seeing tariffs implemented that specifically hurt competitors to those with influence in government) so I think it's important to not fall into a trap of believing you'd walk away with a wonderful healthcare system even if something like medicare for all happened. The entrenched interests would continue to exact their pounds of flesh unless a real sea change was seen away from the current status quo.
I do hope it happens though, I'm a Canadian and my employment is dependent on your system continuing as an entangled morass but I'd happily be out of a job if it meant more equitable access to care.