Too much of the national income is going to support one industry one industry , healthcare . I don ' t understand how you think a so called universal system is going to change this . Obamacare doesn ' t work , and the healthcare savings accounts advocated by the Republicans only works if you can shove $ 500 , 000 into it to cover , perhaps , your cancer or heart surgery . Those types of things are exactly why costs won ' t decrease . We feel the need to treat everything at any cost . These services will be rationed , even in a universal system . Care will be cut . Some people will still suffer as a result of the State not advising certain types of care for certain care . Opdivo , a lung cancer treatment is $ 250 , 000 and it extends life about six months . But it is the best life extending treatment for terminal lung cancer , and other cancers available . Its obscene . There is no reason a cost like that should be socialized . In a universal system , it is exactly these kinds of life extending drugs that won ' t be covered . There will be rationing , it will simply be done differently .