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Mexico already has a constitutionally guaranteed right to healthcare:
In practice, this has meant a bare minimum level of health care is theoretically available to everyone, but most working people have private insurance on top of that, or see private doctors. For the poorest people it has often been very difficult to get the care they need, even if it's theoretically available and constitutionally guaranteed. It's also different from American / Canadian / European hospitals in that family is expected to play a major role doing things that in richer countries are done by nurses or orderlies.
IMO, universal healthcare only really works if the middle class / upper middle class and the poor are all in the same system. If the people can pay more and get better care, they'll do it, and the system used by the poor will be underfunded. You can't do much about the truly rich. They'll always just fly to other countries. If this is just filling the gaps between the various reasons people can use the state system, it's not going to help that much, even if that kind of fix is necessary.
Any public service only works when there's no privatization or outsourcing.
Public services, by definition, run at a loss; it's not possible to profit from them monetarily. All benefits are intangible and derived from their social impact.
More innovation, more wealth production, higher productivity, less crime, better quality of life...
The moment you start privatizing, they stop working, as the only ways to increase profits from a public service are by lowering salaries and giving worse service.
Yes but if taxes are paying for the system then preventing tax exemption and building a competitive standard of care system heavily disincentivizes use of the private system.
If the private system is allowed to exist, it will always exist. Someone will find something that isn't done quite as efficiently as the public medical system and charge privately for doing it. Anywhere the private system exists will be better than the public system by definition. Nobody would pay to use the private system if they could get their needs met for free in the public system.
Because of that, if there is a private system, some people will use it. Those same people will vote to try to limit the taxes they pay for the public system, because they're not using that system. People who can pay for the private system are going to be the richer people, and so their decisions about where their tax money goes has more of an impact. So, eventually, the public system starts to crumble. When that happens, more people use the private system, and the problem gets worse.
Well you'd need a strategy to defeat that mechanism to develop a high standard universal care in the first place. On one hand, that makes the entire argument moot, but on the other hand the same or similar strategy aught to function both for development and maintenance of the system.
Maybe that strategy is widely nuanced in finding an answer to each of the thousands of concerns and organizing for change through protocol. Alternatively there's revolution and reboot.