Bullfrog,
The sick care reform was called "Affordable Care Act". Just make it affordable what ever it takes.
One way they made sick care more affordable was by redefining PCP, from Primary Care Physician to Primary Care Practitioner, which are usually Registered Nurses with advanced training. For emergency care, sutures, etc., and basic issues, they are good.
After the ACA was passed, shortly before I retired, I was getting my meds evaluated by a young guy, instead of the previous MD. The young guy mostly looked at his computer screen, then would ask me a question that was suggested by the computer. He was going through the steps of a flow chart on his computer. I would have been more comfortable sitting at home on the phone to an overseas call center.
With the record high, and still growing, national debt, the US cannot afford to provide universal sick care nor a universal basic income. The Federal Reserve is, and has been, printing US Dollars to infinity. There will be an end of that rainbow at some point and that end won't be a RV park in Texas.
There are billions per month doled out by Congress to Ukraine, but for US citizens (actual voters) and US states, not so much.
Priorities.
The Federal money pie has more than a few pieces that demand massive budgets. Each piece has congress critters and lobbyists ready and willing to defend those budgets from cuts.
The for profit sick care industry has its own lobbyists, who push the industry's needs over the needs of the People.