Universal public health care is as wrong as would be food stamps for everyone. The poor and starving need food stamps, not the rich and middle class. Public health care is similar.
A V.A.-poor people’s clinics network for veterans, the poor and uninsurable with direct public health care is reasonable and useful. Such a system for everyone would be superfluous, inefficient and would expand government far more than needed. Government works best if it performs necessary and cost-efficient services rather than becoming bloated.
A Universal food stamp program where food in the United States could only be purchased with food stamps and every citizen was required to have them is such a silly thought I had to bring it to this essay. Food production and sales might be rather gruelish, and the rich might need to forego caviar for lunch. Food probably would be smuggled in from Mexico.
The middle class and rich can afford health care or health insurance. The poor and uninsurable generally can’t. Those are the people the government should provide medical service to, as well as veterans.
Public health care systems (government run) can hire educated medical professionals readily enough, and they can buy medical equipment from the private sector; if the private sector still exists. The problem with universal public health care is that it probably would greatly slow the rate of technical advance that exists compared with that of a nation with a robust private sector.
A good point for a government run public health care system for the poor and veterans is that if poverty is eliminated as well as wars the system would require fewer tax dollars to exist.
Designing government services at the largest scale is a technical art. Intellectual work is largely technical knowledge. Ordinary tech skills are a closed set and simpler than more abstract technical work. Intellectual tech skills recombine synthetic knowledge. Tech intellectual skills in history of government and philosophy of government function in relation to citizens are requisite for redesigners of government function. Even so innumerable politicians seek to change government without competence in appropriate technical skill. The consequence is 21 trillion of public debt with numerous politicians seeking to add trillions and trillions more.
Virtue and wisdom are requisite for good government reform. Many simple ideas implemented have counter-cyclical effects. The desire to have a product in math of 10 for example, does not mean that 5 added to X=10.