Surely one part of the explanation as to why GM is not lobbying for socialised health schemes is that, as Thatcher famously said, "There's no such thing a a company: there are only executives." The interests of the upper executives, as we have seen, are best served by them arranging circumstances where they are grossly overpaid until the company collapses in a screaming heap, when they take their loot and go home; it's certainly difficult to extract any other drivers from their practice. And this means that their planning timelines are in the order of two to three years, which means that they can afford to disregard any long-term damage to society.
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