I’m not arguing M4A wouldn’t ration healthcare. Every healthcare system rations healthcare because doctors, hospital capacity, and money are finite
I’m arguing that rationing through universal coverage, budgets, and clinical prioritization generally produces better outcomes than rationing through price, uninsurance, underinsurance, prior authorization, and people delaying care because of cost etc etc
If your standard is “a system is morally responsible for preventable deaths caused by how access is allocated” then that standard applies to the current US system too
The actual question isn’t whether rationing exists, it’s which form of rationing leads to better access, lower financial barriers, and better population health outcomes