More rant than essay, but what the hey.
I don't watch a whole lot of TV. But this morning, I was in a place where CNN was on and I watched a Virginia Repub congressman, who is on the House Budget Committee, talk about voting against the healthcare bill (Trumpcare, if we must).
I wasn't surprised by the fact that he's voting against the bill. He says it doesn't go far enough. I suspect he means that it doesn't go far enough to further enrich and keep the rich alive, while the middle class and poor can pray.
One take away for me was that in every sentence he spoke, he (as many of them do) kept talking about the "free market" and "market solutions" to America's healthcare crisis...all unchallenged by the interviewer. He went on to add, IIRC, that deregulating the health insurance sector will also help solve the healthcare crisis....also unchallenged.
Deep in their hearts, they have to know that "buying" healthcare is not like buying shoes. If the shoes available on the free market are too expensive for me, I'll keep wearing my old shoes until they wear out. Then I'll go to Goodwill and get a used pair. If I can't afford Goodwill, I'll still be alive. I'll have no shoes, but I'll be alive. Same with healthcare, right? If it's too expensive, just use your "old" healthcare (none) until it wears out. Then go to Goodwill and get a decent "used" healthcare policy.
They talk about making healthcare available to everyone. Sure. Just like a new Cadillac Escalade. That same free market makes it available to everyone. Pony up $80,000 or have an 830 credit score and drive it off the lot. Those who can't buy their health or a new Caddy can pray to John Calvin and ask for forgiveness for being such a slacker.
Over the last 45 or 50 years, it has slowly morphed into America's conscience that the health of its citizens is and will always be a for-profit endeavor. I don't know if there's any way, short of revolution (that's not hyperbole) that this can be changed. This is part and parcel of the Republican party. The same party that controls the presidency, the Senate, House of Representatives, the Supreme Court, record two house majorities in most states (over 900 Dem state legislative seats lost since 2009) and governors in 33 of the 50 states.
Sorry about the rant, but I feel very dubious about whether the current situation will change for the better. Absent a sea change, I don't see it. I see posts on the internet like "The Republicans are eating themselves, ha ha!!" Oh yeah? Are you sure about that?