The key to medical socialism in the USA

Poor people have restricted access to medicine. Of all the causes of this restriction, insurance is not on the top of the list.  Just the general restrictions of poverty, the immobility and congestion of it, make emergency room and urgent care the optimum fit, in terms of medicine.

The most efficient subsidy from central government is behind the scenes efforts to make emergency room and urgent care clinics more efficient and less costly. And these facilities are labor cost driven. And the major restriction on labor supply is the local district liability for long term pensions. And behind the scenes subsidies for medical workers (and teachers) is contribution matching social security supplementals.  Isolating pension costs gives medical workers mobility; the losses for working in poor communities is less. Helping with pension costs is the best that DC can do.