I've done an externship in the VA, which is a federal universal health care system for veterans. The doctors and staff consistently gave excellent care. Some of the best research and changes in standards of care in glaucoma have come out of work done with VA patients. The doctors and other staff advanced according to position in the federal system and time in grade and do very well.
Some excellent medical research is coming out of UHC systems like in the UK, France, and Canada. In some ways the research is easier to do in UHC systems because of quicker access to greater amounts of data. These countries regularly update their standards of care to incorporate new treatments and healthcare delivery systems.
Also, we could simply extend Medicare to everyone. That would get rid of the then-redundant Medicaid system and save states a ton of money, and it would still allow competition in the health care system. There are lots of ways to ensure everyone has universal access to healthcare.
I don't want to hear anymore crap about how poor people are poor because they're just lazy. My mother-in-law worked her butt off all her life. She didn't have the intellectual ability or the money to go to college to get the kind of job that would have allowed her to leave poverty. She raised 9 kids, helped run a farm so you and I would have things to actually eat, and worked very hard in the jobs she did have. She worked even after getting hurt on a job so badly that her back was never the same. She didn't have the opportunities you and I have had. She didn't live in a place that had a lot of opportunities, and didn't have the money to move. She hardly had enough to pay for basic things like electricity, water, and food.
Try volunteering in a homeless shelter some time. You'll discover that the great majority of people who end up there are not lazy. They're often times still working in a job, but had so many emergencies and just plain bad things happen to them all at once that it put them so far behind financially they couldn't get out. Yes, some poor people could work harder and improve their lives. Most poor people aren't where they're at because of laziness, however, and I find this continued assumption that they are quite offensive and just plain wrong. While I was working on my college degrees, I was extremely poor. I couldn't afford anything but the very basic college health insurance. If I had had a major medical problem, it would have bankrupt me. Your assertion that while I was poor, I was just being lazy, is completely incorrect.