But that's a build in design ... less kids and other weak folk to give decades long medical coverage to saves a lot on the medical costs the small government has!

On top of that, now with severe restrictions on research and marketing of new vaccines, there will be even less medicines in the system.
What competition there was will be wiped away when there are only a small handful of "competing" drugs left per ailment, priced the same ofcourse but just differ in side-effects.

Winning through reducing costs, losing by healing less people.

And so, 4 years down the line, we hear them boast how much costs they reduced in medicaid and still kept it running.