Had a good discussion with a friend the other night about Medicare for All, and played the devil’s advocate.  One of my bugbears is the speed of the transition from the mess we have now to the new plan; it seems it would necessarily involve laying off millions of insurance analysts, data entry people in hospitals and clinics, middle managers, all the paper-pushers who make up a large proportion of the medical care establishment, which is itself nearly 20% of the economy by GDP.

A good article on exactly this:

Source: The workers who will lose their jobs under Medicare for All – People’s World

As usual, it’s not the end goal that is destabilizing, it’s the sudden transition.  Just like the automation wave that’s happening now.