In order to understand that, it helps to look why we never got it to begin with. Do you think this system where we all suffer so a few can be rich was the first thing that came to mind, and then civilization evolved to be better so we got universal health care? No, people cooperated first, and then when communications technology started forming more centralization, started building a pathway to universal healthcare.

But this is America! It's a settler colonial empire! So of course it was the former slaves who were building cooperatives, and organized labor building a pathway to universal healthcare, and white racists with all the money and power to turn those systems of cooperative support into siphons for them to suck us dry from.