Late Stage Capitalism
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Well let's look at per capita costs then. Canada's universal healthcare has a cost of around $1500 per person and covers everyone.
Medicare/Medicaid covers ~60 million Americans and costs 820 billion a year for a cost of $13600 per covered person or a total of $2440 per capita in taxes. There is no rational reason why 820 billion can't provide universal healthcare to every American with change to spare.