Socialist handouts are tools. Like any tool they are only as good as the people using them. While the intentions of socialist medicine, welfare, education and so on seem noble, in reality they are primarily used by self-serving crooked politicians as bribes handed out in exchange for the voting public's servile dependency on a particular political agenda. Generations of voting blocs have been created using socialist handouts in just this fashion. Pragmatic solutions are never seriously pursued because pragmatic, permanent solutions - while alleviating entirely any particular social problem - would undermine the real purpose of the handouts, namely, building a dependent, servile voting bloc.
However, let us imagine socialist handouts for a particular social problem such as medical care applied in the context of a temporary stop-gap measure. While people are subsidized for care, the commitments are temporary and voluntary only to prevent people from dying without proper treatment. Meanwhile, investments are put into education and biomedical technology with specific benchmarks and time frames in mind. Simultaneously, barriers such as crippling 'intellectual property rights' and monopolizing business practices are eliminated to allow real competition to flourish.
By increasing the supply of trained practitioners and biomedical engineers through improved education, and advancing biomedical technology past current levels of precarious scarcity the price for medical care will drop accordingly. With monopolies eliminated, real progress can be effected. If a particular company has a viable, affordable treatment for cancer, no established monopoly will be able to lobby Washington to regulate it out of business to protect their particular racket. Similar solutions could also easily be applied to the inadequate, antiquated, parasitic oil and car industries as well.
We should look around society today and take stock in industries and commodities we take for granted. We do not kill one another over the last chicken leg or leaf of lettuce nor do many people go without basic food. This is not because we have mastered subsidizing socialist handouts to feed our populations, rather we have developed agricultural technology that allows us to create an affordable market nearly anyone can benefit from under normal circumstances.
Likewise, medical technology and other essential industries can and must be advanced to where the market price is affordable to all. This will not happen with socialist handouts or monopolizing regulations in place. It will happen with improved education and healthy competition within the markets, where the only protection given is the rights of entrepreneurs big and small to pursue their trade without being hindered by monopolistic practices. In the meantime, it is sensible to transition away from total, permanent (and pandering) socialist solutions and move toward temporary stop-gaps until this is achieved.