I agree with more ridge enforcement of antitrust laws. I think you're dreaming if you think private businesses or the good town folks are going to come up with billions of dollars every year to provide healthcare for those who have no way of providing for themselves.
No one needs a flat screen TV or second car to live. If you don't have shelter you can sleep at a homeless shelter or under a bridge, or on a park bench. If don't have food you can get food stamps or panhandle, but if you need an operation to live, there is no substitute.
When this country was founded, treatments for serious problems such as cancer, stroke, and heart disease were rarely successful. In fact healthcare in the 1700's was not considered essential. Today, the availability of healthcare is the difference between life and death. If government is to provide for the general welfare of the people, healthcare must be available to all Americans.
The federal government was never intended to provide for the general welfare. It was intended to promote the general welfare. Big difference.
Any city can set up and fund a hospital that takes indigent patients. Our hospital here in Albuqeurque that does that is the UNM hospital. It did that long before the federal government got involved in any of the process.
If you are concerned that people won't get health care than YOU take care of them. YOU get out and raise money for them. YOU set up free clinics and do the legwork necessary to arrange for an expensive operation for somebody. I'm sure you can recruit other like minded people who will help you even.
I have personally involved myself in numerous community programs targeted at disadvantaged people and it is a very rewarding thing to do. And far more economical and far more effective than ANYTHING the federal government has ever done in that regard.
Don't think the federal government is the proper vehicle for that kind of thing. Don't close your eyes to the history, to the hard cold facts of waste, corruption, inefficiency, and ineffectiveness of one-size-fits-all mega programs, and the empirical evidence that is there for anybody to see no matter how much you desperately want to believe the federal government is the way to go. Most people who want the federal government to do it are those who don't want to concern themselves about it. I don't know that is the case with you, but it is really easy to be generous with other people's money.