Although I don't know the inside story, it is worth noting that Biden is not a far-left politician who wholeheartedly supports "universal health care".
It is also worth noting that the Senate majority occupied by the Democratic Party in the House of Representatives is not a real majority. They tied with members of 50 D and 50 R teams. Any actual draw requires a decisive vote from Vice President Harris.
Although Group D seems ready to start everything on their wish list, it won't happen. Many Democrats in the House of Representatives and the Senate come from very moderate and even conservative areas. This means that they are really unable or unwilling to support radical change.
I doubt that they will get the R team to agree to some reasonable changes and improvements. We may see the expansion of Medicaid and medical insurance.
Don't forget, when the R&D team starts to increase funds for medical insurance and other projects for the poor, the R&D team will start screaming that we can't afford it. Although the Democratic team may be willing to pass a small tax increase, we also have a shaky economy to deal with. There is also a saying that tax increases are harmful to the economy.
This is basically a myth, because when the government taxes you and me, they will spend the money. A large part of this money will stimulate the economy. People spend money given by the government on food, medical care and other basic services. This money can create jobs and other economic stimulus measures.
Some economists say that the private sector can do better. Some people say the government can. Some services, however efficient, should not be handed over to the private sector. Sometimes it's not about efficiency or how to make a profit.
In the United States, health care is a decentralized system because of its structure. If we thoroughly reform this system and fundamentally change it, then too many people will suffer too many losses. At least in the next few decades, this change will be gradual and very unrealistic. I'm not even sure if I'm going to say that the overall situation will get better.
For more than 40 years, we have known that compared with other industrialized countries, some of our types of care have some of the worst results. For example, compared with other 10 industrialized countries, our maternal mortality rate is the highest. This number has been rising since 2000.
Unfortunately, unless there is an accident, I won't have much hope for the substantial improvement or change of the health care system and medical insurance.