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I would like to point out that the two need not be connected. We could unmarry healthcare and jobs by making it a law that you could cash out your healthcare coverage. This would open the market for more competitive nealthcare administrators as the people using the insurance would be the ones choosing. I think it would also increase the popularity of paying direct for the simpler stuff and only carrying insurance for the big stuff. This I think is an important step as it would realign what medical care actually costs when you take out all the middlemen taking their cut. And then, when you do move to universal healthcare, the prices would be more accurate. Otherwise we are going to end up with nationalize anthem or united healthcare for determining what medical care you get, which will be a nightmare.
Can you not? My ex has always opted out of health insurance because mine was much better. Now that she needs her own, she had to choose between getting it through her employer and getting it through the ACA marketplace
So my point was if they just go straight to universal, it will end up underpaying doctors, which will lead to further shortages of doctors. So by doing it in two steps, we can hopefull preserve the doctors we have, and maybe even make it a progession people want to be in again.
But why is your ex getting insurance through her employer now bad. Neither path is going to change the current system before that happens.