It’s so easy to reform the American system. Just charge $10 per visit for medicaid participants. That’s just a pack of smokes and a 40 ounce beer. It will eliminate 90% of the deadbeats who inhabit the average ER. Problem solved.
Socialized medicine and universal healthcare are pipedreams only Koolaid drinkers have. They are completely unrealiztic and so prohibitively expensive whixh is why you see Canada and Europe in shambles economically socially and financially. Socialist systems are doomed to failure. History proves it.