I disagree. Private policies will be cheaper & tailored to what the buyer wants if people can opt for their own policies and Trump reforms the dynamics of the free marketplace for healthcare. The Feds would only be involved when they are the payer, Medicaid. Getting the Feds out of that part of the Healthcare business is harder but can be done incrementally partly by shifting the burden and choice on how to set up the programs to the state.
Its not altruism, its common sense. We have never let American die because of lack of care. The point is to get that segment of society to be a much smaller % of Americans by growing our economy and weeding out those who are milking the system
You can run an industrial plant by a bureaucratic check list a lot easier than you can treat the biologically unique problems of quite different individuals--with differences in susceptibility, symptoms, resistances, etc., etc.
It is only because of the neurotic compulsion to level everyone, that so many fall into the errors involved.
And as for letting Americans die. Consider how Jefferson described a welfare system that actually worked in 1782 to see how far we have fallen in our understanding of how actually to address social problems: Jefferson On Welfare.
Of course, with Health Care, the system which worked did not require the intervention of the Church vestrymen. The traditional Hippocratic Oath, of the then not over governed physicians, used to take care of that.