3. FedGov rations care for the peasants. The politicians, their owners the Banksters, and the enforcers for the politicians & Banksters will get as much care as they want.
Same goes for $10 a gallon gasoline. :-)
The best doctors and hospital systems will set up offshore facilities (Caribbean - short flight from US) for those Americans who want quality care, quickly, and can pay out of pocket.
It will become a big economic boost for the countries that incentivize this.