Well, 200 years, 50 years, whatever. It doesn’t matter. The private system wasn’t working. Without govt intervention, the market wouldn’t have provided for people.
If I can’t afford a car, I don’t by a car. If I can’t afford a tv, I don’t by a tv. If I can’t afford healthcare, I die.
The market doesn’t care who lives and who dies. To stay survive the market, which is the only reason for a private enterprise to exist, private enterprise has to make business decisions that aren’t necessarily altruistic.
So if we were to wake up in a magical land where the govt didn’t “interfere” in healthcare insurance, I’m pretty sure market efficiencies would count a whole lot of sick people as acceptable losses. Just as the market is willing to accept unemployed Americans as a necessary consequence of employing low wage workers overseas.
As for taxes to pay for it, that’s simply a market cost of doing business as a person living in the U.S.