Because it was never really about medical care.
It was and is about money and power.
Never really had any medical insurance all the years I worked. Couldn’t afford it on what I was paid. I’m doing better on Medicare & an Advantage plan now than I ever did when I was working. All the employer’s “health insurance group plan” ever did was make a poor man poorer. Some companies may have paid it for the employee, but mine never did. They didn’t pay much, nor did they have any retirement plan. And this was a skilled job. And to think some folks urged me to go back to work after I had retired late in life. There wasn’t enough left of me after those working years to enable me to do anything i was skilled at.