People don't want to pay for what they get. They have "better" things to spend their money on. Ask anyone under 40. Create a society that believes they are entitled to the wealth of others, or, in the case of medical practicioners, the labor of others, and this is where you eventually end up.
If we are going to give "free" medicare to the underclass and illegals compel them to provide free-of-charge services--they and their families--in return. There is a lot of baloney about "we're all in this together." I don't remember anyone in the underclass coming to visit/help my mother when she was elderly. No doubt there were kids with free time, on the dole, who could have made her life easier or just provided companionship. If we're going to have "one nation" there has to be responsibility and accountability and connection. It is all just talk, a smokescreen.