A Boring Dystopia

Yes, your non-concerns are my non-concerns as well.

The OP is what I have a problem with and what my comments are addressing,, the incorrect blaming of Biden for a legacy private healthcare system, especially when it has been a primary focus of Biden's administration to correct as much as it can within the contemporary system.

Biden has done amazing work in less than four years to give tens of millions of people affordable and accessible health care, as well as working on ACA.

Americans are voting within the two-party system within the current American for-profit medical infrastructure, and neither of these two parties want badly enough to change the contemporary health care system.

While it is impossible to get quality, affordable health care in the current American system without being born into it or getting lucky, it is very simple to go abroad for the purpose of medical tourism.

Flights anywhere in the world are a couple hundred dollars, and healthcare is easily half of what it is in the states while achieving a similar medical outcome, and often even cheaper, so you're saving hundreds to tens of thousands of dollars easily with any non-urgent operation.

This may not be as convenient as other services Americans expect, but as they are living within and paying into an exploitative health care system, it is what many Americans are looking for.

Less money, less time, equitable healthcare.