I think people going bankrupt with medical debt or outright dying through lack of care would still prefer beauracracy and paperwork to nothing at all. Besides

I think people going bankrupt with medical debt or outright dying through lack of care would still prefer beauracracy and paperwork to nothing at all. Besides which, unless you have the best gold plated insurance plans or a mediocre plan and never need to go out-of-network, mindless beuracracy and tons of paperwork describes the status quo of private insurance. And annecdotally, my father on Medicare has far few issues of that sort than I do on my (above average) employer's plan.