They built the Dyson sphere to exclusively power grok. The sun no longer licks the earth with its warm light. The land based datacenters on earth, now buried under hundreds of meters of ice, provide the few remaining sources of heat through their exhaust shafts. The last of the surface bound human refugees cling to them as camps and villages pop up here and there. Sustaining themselves on Jensen Huang brand “Hot Dog flavored” meat-like rations, they gather in small villages hobbled together about the exhaust vents. Unable to exhaust enough carbon from their blood they can’t even risk letting their core temp drop. They know atmosphere as well the cold to be their prison wall. There they huddle for warmth, rationing, and waiting for the next hoard of autonomous PolyGPTMarket Enforcement Drones. Waiting to learn whether their agenetic overlords placed enough stake on their survival, or that the day had come - that they might be swept down the shaft, macerated and baked into hot-dog flavored oblivion.

Jefferson park maybe?

Well you’d need a strategy to defeat that mechanism to develop a high standard universal care in the first place. On one hand, that makes the entire argument moot, but on the other hand the same or similar strategy aught to function both for development and maintenance of the system.

Maybe that strategy is widely nuanced in finding an answer to each of the thousands of concerns and organizing for change through protocol. Alternatively there’s revolution and reboot.

Yes but if taxes are paying for the system then preventing tax exemption and building a competitive standard of care system heavily disincentivizes use of the private system.