Pharmacies and insurance companies will feed themselves while they exist; we had might as well harbor large carnivores in a nursery.
Healthcare's not apt to come together in the States soon. We had a moment, but Obamacare more or less inoculated the system against any sort of socialism for a generation or so by providing a bogus socialism set up to fail. The effect is not apt to go away as the IRS begins to collect penalty fees and as insurance fees rise and service predictably falls to government-guaranteed payoffs and collection and clear-as-mud industry regulation as interpreted by industry lawyers.
As the rulers have left things, the array of other likely difficulties--faltering of the now-inflated stock market, progressive energy hikes leading into peak oil, increased poverty and displacement related to erosion and poisons and climate change, increase in crime and abuse with a steepening hierarchy and the disabling of electoral options--are likely to deflect energies from healthcare as the population slides down Maslowe's hierarchy and the sick and aged start to feel like a smaller sacrifice, relatively speaking.
I won't go so far as to call this a saving grace, but an interesting perspective is provided by the fact that Western medicine is not really all that good. In some cases, what we will be denied will be service sorely needed, but in many others, we will simply dodge a bullet without knowing that it existed.
My father's recent hospitalization and death provided a somewhat spooky example. He had paid for insurance over many decades, and the insurance companies did cover most of his hospital expenses. I would have to be an expert to know whether they did so as promised, and I am not; but they at least did well enough that the old man was not kicked to the curb like a pauper, and the resultant bills to the estate were modest. The hospital was not only well equipped but eerily well landscaped, with considerable decor and accoutrement for the care of various next-of-kin--that meant me, and not once did any of these fine people start to shoo my ragged tail from the building, a fact that I set down strictly to the influence of this accumulated insurance money.
The staff was quite competent, too. They X-rayed him, found a lung filled with fluid, poked a hole and inserted a tube to drain it, found that it would not drain, suspected and confirmed that he could not swallow for reasons that were probably neurological, stuffed another pipe up his nose and down his throat to feed him, scheduled and then canceled surgery to have another feeding pipe stuck into his belly, counseled his non-paying relative (me), brought him into hospice, jammed a catheter up his urethra to drain his bladder, and finally gave him an IV of morphine so that we could all wait in the fine environment with the advanced xeric landscaping while he took his time to die.
At each and every action, every single hospital staffer looked to the non-paying relative for the decision: that was me. I assume that is because my father was dying, and that left me as the Person Most Likely to Sue. After deciding to go to the hospital that he had previously said would kill him, he made not one decision regarding his life or death or well being that he did not have to pass through his son.
As nearly as I could tell, the morphine helped. As a subjective judgment, I would say that it helped quite a lot. And there are other stories, of course: cancer caught early, bypass surgeries, times when antibiotics and vaccines actually did work, diabetic medication, and so forth. We will miss a lot of that, and badly.
Most of the world's opium products today derive from product exported from Afghanistan by US military and paramilitary personnel working with and against local Afghanis under the Karzai regime. My father was US Army 1943-5 and defended them mayhem and monkeyshine all his life, but imagine asking in a private California hospital in 2016 that he should therefore get a cut of that.
The poppy itself grows quite readily and reseeds itself easily in many locations across California and across a pretty good band of the rest of the union. In many places it would need nothing so incriminating as irrigation.
As I was told a good while ago, "Summer's almost gone."