Few 94 year-olds have dementia, and there are more than a few families that would like to have their elders hang around for a bit, while that is still possible.
I used to find it utterly hilarious that the right wing touted the ills of Canadian and UK health care as symbolic of the ills of natl health care. Nobody pays any attention to the programs of Scandinavia, Germany, France, The Netherlands, Spain, where no private health insurance has been outlawed.... I wonder why that is. Goebbels would have been proud. I no longer find this humorous.
The RW cried Socialism when Medicare was passed, but could not stop its inevitable improvements such that today, no RW politico dares argue against it, even though Paul Ryan schemes against it in his budgetary alchemy.
The current imbroglio in the US is clearly stated here:
BTW, AMTRAK hardly represents nationalization of passenger rail, since not all was taken over and the company itself is a private-public hybrid.