re: So what exactly is the main argument against universal healthcare

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Individual practitioners.... true. Large hospitals that want residency programs, reimbursement programs etc.... not so much.

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But physicians in MSGs that contract with hospitals, or hospital employed physicians themselves aren't paid based on the patient's payer source. They don't care about insurance. The hospital will have decisions to make...staff leaner, reduce physician compensation per wRVU, reduce administrators (the one that won't happen lol)...

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What if they make taking it a condition of licensing?

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You just don't schedule those patients. Template 1 medicaid patient per day, so when the Medicaid patient calls and needs an appointment, they get told the next available is 6 months in the future. And, just like they do now, they head to the hospital where someone paid based on wRVU will see them whenever. Hospitals will still be forced to treat the large majority of Medicaid patients. But it won't be a condition of licensing so this is all a moot point.