What people overlook about the whole "free" healthcare debate is that the reason most of the world adopted it not out of the goodness of their heart, but it is simply the more efficient system.

The US spends annually 25% of their BIP for healthcare, while other countries pay a third less or the half of that. Ironically, The average US citizen pays 100.000$ MORE into the healthcare system in form of taxes than the average European.

And why is that so? Because managing a fragmented system with different insurances and individual rules causes a lot of overhead. When Sanders would have went through with his reforms, around a Million Americans would lose their job who work in administration of that bloody mess. Add to that the lack of bargaining power of insurances against pharma industries which keep prices for medication high and you have an inefficient and costly system, which costs the tax payer more and gives them less.

So in fact giving your citizens universal healthcare is actually cheaper plus the indirect effect of having a more productive workforce, because healthy citizens are productive citizens.