

The US working class would have to mobilize serious strike action across the country to win universal healthcare. The capitalists don’t want their private property (companies, businesses) within the field of healthcare socialized. The working class can do it though. When organized and led by a revolutionary program and leadership, the working class can start to call the shots. All workers need to ditch the capitalist parties (dems and republicans) and support class independent parties and mobilize their power outside of the bourgeois political system.
It all depends on property rights and ownership. If few people hoard and control all of the resources and means of production that make the resources like gold valuable, they will continue to profit. Everyone else’s standard of living will continue to plummet in their efforts to control more markets (through wars, embargoes, trade agreements, etc.) and squeeze out the greatest amount of profits from everything and everyone.
Until property relations change, the property-less (and I don’t mean a single family homes….i mean machines and resources that create wealth) will continue to struggle to greater and greater degrees across the world.