BS”D
Also, the Medicaid and Medicare are political hot potatoes. Start denying coverage even when it should be denied, and the recipients get their Congressional representatives involved through all sorts of “aid” organizations that also feed at the public trough. Now the system is (barely) at a size that this politically influenced tolerance for abuse can still go on – but extend coverage to all via the government and the system will be overstretched, with waits for care and denials reaching UK and Canadian proportions.