Because with the current medical cost, it would be absolutely ruinous. The root problem is American health care is far too expensive. The entire system is massively wasteful and complex.

Seems like unifying it under a single, already-extant federal system would greatly reduce administrative overhead though, don’t you think?

What’s funny is I’m probably one of the people whose paycheck is dependent on me not understanding that to paraphrase Upton Sinclair. When I started at my current employer, one of the devs straight up said the government should be doing what we do and we shouldn’t have a business.

Unfortunately, several million people work in medical billing and insurance. No politician that is aiming to get re-elected wants to double the employment rate. It would cure inflation almost instantly though!