RE: So you believe in Communism?
We may well have those things even without the consent of the medical industry. We may soon have many free goods and services because the technology providing them will be owned by individuals.
Free doorknobs? 3D printer. Free food? Aquaponics. Free internet? Mesh networks. On and on, up to free designer babies via CRISPR, sex dolls, and artificial wombs. These technological advances are new, and it takes time for dispersal, but that's really all it takes.
All economic systems are temporary. Communism, Capitalism, Anarcho Syndicalism, all of them, because in the coming world where these (and more) technologies have fully matured, no one will need a job to earn money to buy stuff from industries.
Today Capitalism remains the most freeing system of our choices available. A day comes when people will wonder at our barbarism and lack of ingenuity because we didn't just make what we needed ourselves.
We still see doctors as impossible to imagine being unnecessary, but there is no particular knowledge that isn't just data, and in time data is democratized. The technology needs to improve yet, but I do not doubt that it will improve until we can eschew with human labor, including every specialty you can name, including all those @dwinblood specified.
It doesn't even matter if we want this world, because physics determines what it possible, and people will inevitably work out what is possible. Since each of these developments enables individuals to spend less and keep more of what they earn, people will adopt these means of improving their lot.
I don't think that's a bad thing. Especially not for folks that presently are the least able to benefit from health care. That's what I look forward to.
I think you are extremely overoptimistic here.
But generally, yes, we could go to 15 hour work week for most jobs in a matter of maybe 20-30 years if we really put our effort into that.
Same is true for fighting climate change, de-soilification and the oceans dying from plastic.
Now we just have to get our heads around the idea that having a job is not the most important thing in the world, but rather not destroying the only planet we have.
I grant that all the miraculous tech I see forthcoming isn't here yet, but the basics are already, and time is all it takes from there. I didn't predict a time frame, but considering how fast smart phones basically took over the world, 30 years seems very pessimistic to me. I'll settle for ever, frankly.
I agree that restoration of robust and natural ecosystems is perhaps the most valuable investment we could undertake, as the invaluable evolutionary mechanisms, incredible and fecund diversity (that is our life support system), and perhaps least, the ready made blueprints for uncountable biological mechanisms we can learn to understand, emulate, and adapt for bespoke purposes.
Thanks!