If your insurance company would go bankrupt paying for it all because we refuse to pay into a federal system to care for those with pre-existing conditions, how do you expect our government to do it without financial sacrifice from healthcare providers, drug companies, insurance companies, and … yes … you and me?
This zero-sum view of federal spending is at the root of the decline America has suffered over the last half-century. The federal government, specifically Congress, was given the monopoly authority to create the nation’s currency and a mandate to do so “for the general welfare”. As long as the necessary resources exist to accomplish any goal Congress deploys currency for that spending will not cause inflation and that spending places Congress in the position of “price setter” for the goods and services.
Taxation and borrowing have never been direct funding mechanisms for the government and only serve as inflation control and to accomplish social goals, such as limiting inequality or punishing undesirable behavior. If the above conditions exist, Congress can deploy the currency targeted to any goal without needing “funding” or “revenue”, as the US dollar is entirely self-funding by fiat sans a gold reserve to defend. The order of processes involved in spending, taxing, and borrowing would show that it is spending that “funds” both taxation and borrowing, not the opposite.
The current and generally accepted concept of taxation/borrowing funding our government is very beneficial to private sector business and banking but is simply not correct. It is, nevertheless an easy sell because it resonates well with the budgeting process of most American voters and anyone who isn’t the currency issuer. Any entity other than the currency-issuing government must “obtain” money prior to spending and it is difficult for even the best minds to shift a lifetime of perception of money without interjecting some of their basic morality and logic into that perception.