People die, population shrinks, mostly concentrated on those unable to pay the barrier to entry for care. Isn't it obvious? Those that have money will pool it to intermediate access to healthcare under the auspices of increasing access to affordable care, but in reality, it'll essentially be entirely hyper optimized around the financial aspects. Care will be a crapshoot, but the books will be perfection incarnate. American dream will essentially be firewalled between those capable of affording care, but who can only afford that and have to rent everything else, and those sitting on top of the asset pile. Odds are, things will probably swing gerontocratic for at least a few more generations, and no significant reform will be done to ensure that markets leave enough room for investment potential amongst the working class.

Systemic, statistical murder is the best murder because it's nobody's fault, and the people running the show will fight tooth and nail to shout down that it's even a thing because the cognitive dissonance and moral burden is just too damn burdensome otherwise. Unless you're like me I guess and have written the entire system off as intentionally rendered defective through conspicuous unwillingness to consider alternative allocation schema. Then again, I'm in the midst of a bit of a Diogenistic stage of life at the moment.

The private equity firms that are gobbling up healthcare providers find ways to tap into Medicare funding. I don't think the train is going to slow down at all until the Baby Boomers die off.

Agreed. America is a walking corpse at this point. The elites that took over post ww2 are nearly done siphoning what they can. Iran war will be the death throes, I think. Shame to be an unhyphenated American with no home country to seek refuge in.

It’s not quite the Weimar Republic, but history certainly rhymes!