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The whole purpose of insurance is to share the risk. That means you pay your premiums when you don't need it, you pay your premiums when you do need it, and the insurance pays your bills when you need it.
That whole concept is lost if you start allowing anyone and everyone to jump on board Medicaid whenever they need it without asking them to directly contribute anything when they don't. UHC would be a big improvement over what you are suggesting, because the funding will mostly be derived from customers who pay premiums, instead of from the taxpayers as a whole.
I edited.
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