$1 trillion more efficient in allocation of resources, freeing up money for consumer spending on everything.

$1 trillion less middle-men.

Not profit, just income

Not really. Private health insurance would still exist alongside for the more wealthy (including nearly everyone on HN) that doesn’t want to wait a year for their public system MRI. Same thing that plays out in other countries. The U.S. already has a form of this in so-called concierge / premium providers too. Lots of profit to be made.

Total profits for US health insurance companies in 2025 were $50 billion. The other $950 billion has got to come from cutting:

1. money to providers

2. overall healthcare consumption

3. bureaucratic redundancy and waste

1 is going to piss off medical providers. 2 is going to piss of the general public. 3 is going to piss off the 20 million healthcare industry workers who are not direct care providers. So pick your poison. This is why it will never pass.

That would be a massive hit to our GDP.