It is, therefore, not "necessary" for the government to...
Universal health care in the US is not a "necessity".
Health care is not a right. It is, therefore, not "necessary" for the government to provide universal health care. A public plan, subsequently, is not a "necessity", in-so-far as it may offer It is, therefore, not "necessary" for the government to provide universal health care. A public plan, subsequently, is not a "necessity", in-so-far as it may offer universal coverage.