As I said before, this is no longer Reagan's America.
Oh, please!
Two of the most critical elements destroying what we have now were signed into law by Ronald Reagan - Medicare Prospective Payment (1983) and EMTALA (1986).
If you do not understand how these "reforms" destabilized and eventually destroyed a functioning system, requiring more and more interventions to the point that collapse is now inevitable, you really shouldn't be discussing this issue.