Well you’d need a strategy to defeat that mechanism to develop a high standard universal care in the first place. On one hand, that makes the entire argument moot, but on the other hand the same or similar strategy aught to function both for development and maintenance of the system.

Maybe that strategy is widely nuanced in finding an answer to each of the thousands of concerns and organizing for change through protocol. Alternatively there’s revolution and reboot.

Yes but if taxes are paying for the system then preventing tax exemption and building a competitive standard of care system heavily disincentivizes use of the private system.