The problem with plans like this (other than economic contradictions) is that there is alway an alternate plan for those with the ability to pay. If everyone were limited to what the plan offered, it would soon come to a head. The same goes for Social Security. We keep bailing out the system in spite of years of predicting that it will eventually fail.

No one with normal means relies on SS for retirement but it will never be allowed to fail or be privatized because it is a political football.

The Utopean appeal of universal health care and retirement is too strong to go away until or unless it crashes in flames. If it doesn't crash, then I guess it doesn't. The longevity of entitlements is the best argument for their continued existence.