A great nation in 2018 provides health care for their citizens. It's not 1917 or 1817, where just making enough money to eat and live indoors consumed most income, or when there wasn't really much medical care available. The cost of food and housing has decreased over the last two centuries, so more income is available for health care. Advances in automation means more resources (labor = money) are available for other expenditures, like health care. But even if you don't care about being part of a great nation, there are so many reasons why just about everyone should want a national health care system. The odds are against you having enough money saved up, even if you worked 60 hours per week for forty years, to pay for your medical care after you retire.