Well they really want a two-tier system that the soviets had.
The small, powerful Inner Party members had the best healthcare they could possibly get, few expenses were spared.
The massive underclass, the proletariat, got table scraps. And were reminded to be thankful to the state for the wonderful care they ‘received’.
Of course, in practice, their ideal system will be two tired but they will not admit to anything but the illusion that all get the same care. At least Singer has the honesty to admit to the desireability of multiple tiers.