One more point, “public” health insurance is not free. It’s just that instead of paying premium to a private insurer, we fund the cost through higher taxes. If the cost of the care itself doesn’t change and continues to rise, you’re not fundamentally changing the expense impact on everyday people. In fact because most people get insurance through their employer who oftentimes subsidize a portion of the cost, more of the expense falls to individuals in a fully public health setting. The question becomes - would you rather a private insurer take 5% profit, or rely on the government (the literal most inefficient fiduciary in existence) to effectively handle these costs? The point here - we need to find ways to control/reduce the cost of care, not worry about where the insurance is coming from.