America only ever has one healthcare bill. It is the total amount spent on healthcare, including harm done to people who don't seek healthcare because it is too expensive, plus all the costs of people going to the emergency room when they have no other option, plus all the people who go into bankruptcy from medical debt. It's all one total bill, no matter how you spread the math around, and the only question is how much of that money is being wasted on inefficiency and lost to corporate profits. We might as well all keep paying that bill, but figure out ways to reclaim those corporate profits for the people.