My point is not coming through clearly then. I am not claiming politics has zero impact. I am not saying a political decision cannot affect everyone. I am saying that when the same issue has shown up for years in red, blue, and purple states it looks more like an economic problem.
Let me digress and use what i think is a more simple but clear example and see if this helps...
Delivering services, whether it be Postal delivery or healthcare, will always have challenges if you view it thru a 'Profit Model' and that is a problem in the US.
Postal delivery can be enormously profitable in dense large cities and very unprofitable in rural areas, but taken as a whole in a non profit model you can run a basically 'break even' model by using the profits from the dense cities to subsidize the delivery in rural areas' and THAT IS NOT A BAD THING, no matter how much Republicans want to collapse it, sell off the very profitable big city routes to private companies while shutting down service to rural communities while claiming they cannot be justified economically
So while it is NOT WRONG to point at the Rural routes as not profitable, calling them unsustainable is WRONG if you look at the service as a 'WHOLE" instead of by parts thing.
Magats may bristle that 'THAT IS SOCIALISM', 'using the profits from one area to cover losses from another', and yes it is, just as so many elements of government are, and MOST 1st world countries manage to do it well whereas the US does not as they focus on 'profit' over 'revenue shifting' in these areas that they SHOULD SEE as non profits.
what the above does not mean is that Rural areas should get the same high level of service as big cities, whether it be postal or healthcare, as i am certain the people knew they tradeoff they were making to begin with, if they chose the rural life.
But what it does mean is we should not be fooled by the greed and profiteering that drives magat politics. Yes healthcare is under increasing challenge nation wide, but the biggest component of that is naked profiteering at all level empowered historically by the GOP and Dems and now by Magats on steroids.
AND THAT IS DUE TO POLITICS FIRST AND FOREMOST! Lobbying and profiteering to allow outsized corporate profits, Insurance company robberies of citizens in an oligarchy system, and other such abuses.