The #1 is the one who runs the society and has politicians in his pockets so they make sure that no universal healthcare is implemented and the people are force

The #1 is the one who runs the society and has politicians in his pockets so they make sure that no universal healthcare is implemented and the people are forced to choose between the only alternatives you listed - i.e. scared by #2 the people are forced to go to #1 which produces more money for #1 for more political power. Repeat from the start.