Perhaps the word they are looking for is "competent." Competence is often expensive. People who are competent usually became competent in order to make more money. Top medical centers have high quality, expensive staff.
I find it fascinating that many socialists don't seem to care at all about competence. They want free medical care for all, but they never want to discuss quality of care. "That's elitist!"
I also find it fascinating that the socialists seem to assume that doctors and others working in health care will be happy to be demoted to socialist perks. Did a single doctor go ever to medical school in order to to help Democrats be elected?
You nailed it Competence and Quality are two words that are not associated with Socialist economies.
A Yugo could only be built in a communist country.
I hope we don’t end up with Yugo style healthcare, but suspect we might.