It’s the natural evolution of capitalism to descend into imperialism and fascism. The republicans, or ‘classical liberals’ are just the vanguard, while the dems, or ‘neoliberals’ are the brake.
At best the dems are just slowing the speed of the descent. But without a systemic change, it’s inevitable.
My aunt in Canada has had 2 hip replacements. And while she did have to wait, which is worse: waiting and not being in crushing medical debt? Or waiting a bit and having almost no costs?