Unless they have a hard to treat diagnosis that requires specialized meds or experimental treatment. Or have a prolonged illness. Insurance companies are hardly better.
I can tell you hospitals and providers are under-reimbursed by Medicare we struggle with Medicare rules such as HCPCs and bundling, and with the coming provider and nursing shortages. I strongly suggest anyone who thinks M4A is a good idea, take on reforming drug companies first, as they have a great deal to do with driving up costs. Its worth noting that any number of medications are NOT manufactured in the continental US, a number come from China, simple things like normal saline came from Puerto Rico. As long we have that creep in the White House, I expect things to get worse before they get better. We need to make a plan for enough providers to care for everyone (Doctors, nurses, PAs, ARNPs, PCTs, radiology techs, social workers ect) we need more available clinics in rural communities. In poor communities.
We absolutely need universal healthcare. I work in one of those hospitals that gets the underserved. We eat a lot of costs. A lot. If universal healthcare was implemented (Im a fan of improving the ACA and adding a public option) there would be less financial stress on hospitals and clinics.