Do you think he would vote for that? Or, like similar systems in the last century, would some, let's say state encouragement, be required?
And I feel like you're being very disingenuous by implying that him not getting what he voted for is equivalent to communism.
The cardiologists and their like can be outvoted. That's how it goes in a democracy. But the number of people who lose on net may be greater than the number of people who win on net. So the only way it gets implemented may be through... let's say "undemocratic" means.
Note well: I'm not advocating this. I'm just pointing out that this may be the way the politics works out.