I have been pounding this nail for so long as socialized medicine has been a real possibility in America and you are the first other person to show any understanding of or concern for it at all. To me it is the primary issue in Socialied Medicine for the Last medical free market. No one else seems able to conceive of it being any problem at all, even on FR.
The return of Plagues is the Unthinkable, almost literally. It seems like the Stone Age.
Add to that, 10% are unemployed and 16% underemployed, we had a fascist coupe d'etat, and people are concerned about having to live like beasts and grub for roots and berries after being looted and plundered, so it is no wonder no one wants to think beyond a fifteen-year horizon.
Depopulation by plagues, added to the intended euthanasia of oxygen wasters like me, and Politbureau-furnished abortion will delight the Gaea Crowd, as we return to a pristine Pleistocene, without evil SUV's and a teeming mass of humanity to annoy the Great Mother.