realistic universal basic income and a nationlized medical system.
…are leftist ideas at all. A government having to shoulder the burden of dealing with the consequences of capitalism isn’t leftist (UBI). Neither is a state doing the bare minimum of what states have always been supposed to do (state-run healthcare).
But this…
Our current system trys to stem the amount of abusers
…ie, focusing on the miniscule amount of “abuse” done by the people without power and privilege in a society as opposed to the gargantuan amount of damage caused by those with power and privilege - now that is textbook punch-down-kiss-up right-wing ideology speaking.
So far, the only ideological understanding you have expressed here (so far) is a right-wing one.