There's a whole chapter in Atlas Shrugged devoted to that. Part 2, Chapter 2: The Aristocracy of Pull.
Dem health care will have all the responsiveness of any bureaucracy where everyone keeps their job no matter how unhappy the customer.
Because we'll go, from being "customers who pay for a service" to “better be grateful” numbers seeking medical care.
They'll say “you don't like it - where you gonna go?”. And that's that. Take it or do without. And you better be grateful or Nurse Ratched will fly you over the cuckoo's nest... Because she has the power - and she's not putting up with any crap.