The importance of social trust has had a major impact on my belief in the importance of government-guaranteed tax-funded universal healthcare. Before about 2015, I thought it was nice, but not a pressing crisis, but around then, I started to notice things like signs saying "why does my insulin cost more than methadone?" and "why is medical marijuana cheaper than my heart disease medication?". These situations might have simple economic explanations in terms of supply-side dynamics, but they are morally infuriating to the same chunk of the electorate who
self-identify as conservative capitalists. Not long after, Martin Shkreli appeared.
There seems to be a powerful, possibly instinctive, connection between A: being able to turn to someone for help when you're in need and B: considering that someone to be trustworthy. In 2020, we saw this writ large, when the United States became the global epicenter of conspiracy theories about SARS-CoV-2. The general population's trust in the medical system and the government is a huge unaccounted-for externality that can have serious effects on our economic and political stability.
Furthermore, one of the most lamented, supposedly idiosyncratic, problems with the US medical system is the sheer amount of paperwork required to do almost anything. It seems like an excellent example of this:
>We need to trust the people around us in order to live happy, productive lives. If we don’t trust them, we end up having to find costly ways to formalize our relationships.
(Opponents of guaranteed universal healthcare in the United States will generally agree that we do not have a "free" market in healthcare, but it is usually harder to convince them it will never be politically possible in light of the above.)