If Medicare is not privatized and Medicaid is not privatized and converted into a block grant / voucher system with a defined contribution rather than a defined benefit, and a growth rate capped at the combined rate of CPI and population growth, then neither program can possibly exist 50 years from now — probably 35 years from now.
That is not ideology. It is pure math. And we have several examples. Venezuela. Greece. Argentina. Puerto Rico. Government buying votes with largesse paid for with debt, until even the INTEREST cannot be serviced. How many examples does it take before you concede that the problem is progressive policy itself? When will you admit it? When Italy fails? Spain? Portugal? France? They’re moving toward that result.