There seems to be plenty of economic incentive for automation in the US without socialized health care.

It has occured to me though that one thing that makes automation and digitalization of society "affordable" by comparison to human labor is -- skimping on security, building this giant house of insecure fragile IT. If we were to actually pay for reliable secure systems we probably couldn't afford the computers-replace-person-hours version either, not sure where that would leave us.

The USA-ians definitely like their money as much as the Swiss.