>>All the evidence that I have seen points to the opposite conclusion.

The world is full of real-life evidence of universally funded cheaper care. If you think it will be more expensive then perhaps you're relying on partisan predictions, not evidence.

FWIW I don't know why you worry about borrowing. For the next few years the US can get away with borrowing as much $ as possible then inflating furiously. Do it right and mortgages end up being paid off with credit cards. FWIW the previous generation did exactly that, watching their mortgages shrink away in real terms because of inflation. If the current generation ends up earning $10M/year and homes are worth $100M, current $200 mortgages can be paid off in weeks as can government debts into the $Ts. Sure it'll hurt your lenders, but if you don't care about fellow citizen poor then why should you care about foreigners? It is after all your dollar maintained for your benefit and outsiders can't really expect it to revolve around them. This policy may not benefit you personally but it's a viable solution for the country and for the next generation who otherwise will inherit quite a mess. You need to do it quick because although they're wisely bailing out of dollar holdings expecting you to do just this, the Chinese won't be pleased and their military strength is growing fast, funded by all the jobs that got exported away from blue-collar Americans to Chinese peasants to maximise Corporate profits.