The bolded actually makes logical sense due to one frequently ignored force: radicalization. It's what people like me bank on: Piss off people enough and they will be more likely to choose the wacky alternative. The wacky alternative in this scenario is, however, sane... why? Because Americans consider things the rest considers necessary as wacky.
Translation for those who don't speak introspection: we need to radicalize current center-left idiots since they consider UHC communist. The only way they will vote for it is by making themselves perceive their own views as commie views. Alternatively, their "Darwin checkdsk" will return a negative result and end with the US collapsing after voting increasingly fascist regimes and leading to brain drain.
Two thousand years and we haven't learned a damned thing.