Ever since Richard Nixon abolished the Gold Standard in 1971, US governments could afford to pay for anything denominated in US dollars. However, the Trump administration and Congress seem to be completely ignorant of this fact.

When the Treasury makes payments, it does so electronically by crediting bank accounts.  As if by magic, simply by keying an amount  in the computer and crediting an account with it new money is created! There is absolutely no need to have recourse to a pool of money or to debit a tax account. Imagine you could hack into your bank account and alter the figures in it. Simply entering a credit of $ 10 000 would increase your account balance and make you that much richer - you would not need to have any money before carrying out that operation. Research into how modern monetary systems work has established beyond any doubt that governments spend (and create) money simply by crediting bank accounts. This means creating a health care system to which all Americans have free access is NOT limited by finance, but only by physical resources - the availability of medical facilities and instruments, doctors, trained nurses, etc.  Until politicians understand that they  are hamstrung by irrelevant and meaningless notions of 'budget constraints' it is unlikely that Congress will ever be able to create a fair universal health care system.  The graph illustrates what could be done with an adequate understanding of the moneatry sytem!