Re Trump: remember that because health care is wedded to employment, if the economy is shut down there is not healthcare.
The logic therefore is that as long as you can work you have healthcare.
The trouble with this is the lack of sickness pay and the lack of healthcare available even though you've paid for it when the healthcare system collapses due to sheer numbers.
That's the problem; for Americans if the economy goes so does their healthcare. If they say at work at least they have food and can pay the mortgage and have healthcare.
Until they don't.
It's the entire American system which is fucked up that's the problem.