There is an equitable solution to this problem.

If your last name starts with A to D, forward all your outstanding and future medical bills to Elon Musk.

E to J, forward to Bernard Arnault

K to M, to Jeff Bezos,

N to Q, to Larry Ellison

And R to Z, to Mark Zuckerberg

We'll just privatize universal healthcare by having the richest 5 people in the country pay for everyone. If they don't want to do it, they can spend themselves into 6th place or lower, enact a national universal healthcare system, or face the guillotine.

I mean, if you can call a key feature of the system a conspiracy, then yeah..

On a more serious note:
https://theanarchistlibrary.org/library/peter-gelderloos-how-nonviolence-protects-the-state

The French Revolution took about a century to fully play out, including a period when Napoleon made the rest of Europe his personal bitch.

After The Terror France had to go though a bunch of try outs while various regimes and political powers got hubris fever and started rolling back rights again, resulting in more guillotines and piles of heads. In the late 1800s, the French Republic was fully established, and the people were damn tired of aristocrats trying to push their authority.

I anticipate it's going to go down like that here in the states, only with the chaos of fifty states with their individual interests using chaos to sabotage the opposition. Our grandkids' grandkids will see a lasting peace, maybe, assuming pollution doesn't destroy global agriculture and creat a mass famine...ir a new supergerm... or Project 2025 succeeds in removing all the pacifists and peaceniks from the STRATCOM chain of command, allowing for global nuclear exchange.

All this is to say, short of a string of Dickensian Christmas miracles to get plutocrats to let their political puppets implement some social safety nets, the US and possibly the world is in for a centuries-long rough ride.