I am serious. I spend a lot of time, as many of us here do, going over strategies to protect my assets and income in case of higher tax rates, creditors, etc. I try to understand and get any tax credits and subsidies available to me or my DGF.
None of us are ever going to change any healthcare policy in the USA. Even if we are the impetus of change, it may not happen for several years. We could have a health event tomorrow that requires treatment we cannot afford, or one we do not have coverage for, even with today's system. There are people that pay the ACA penalty, rather than get insurance. This type of discussion impacts them.
Having a backup plan is probably more relevant to more people than changing residence to a different country, although that is a valid backup plan for some too. Knowing what worse case is, helps people make decisions. Making a $25 a month payment plan is not too bad. Paying $100K, when the downside is only $1K, is a poor financial decision. A wealthy person can always move to somewhere and get care. The average person cannot.
I have VA healthcare, 100%. If I get taken to a non-Va facility, they are supposed to cover it, but maybe not. I never intend on paying any major hospital bill, if I ever get one, if I follow their rules and it is truly an emergency. Heart attack, stroke, compound fracture, etc.
I am self-insuring for LTC, and I am assuming it will be a one-way trip that my assets or VA insurance will cover. If I walk out their door after a miracle, I am not planning on writing any checks to any LTC facility.
I think it is helpful to understand all options.