I mean the actual medicine part. When I think about it, there are still no cures for the major things that ail us (e.g. cancer, etc.). China cured that one guy from his diabetes, but I haven't heard anything beyond that.
The "promise" of stem cell technology from 20 years ago still hasn't amounted to anything that your average person can get (and there are all sorts of shady overseas places that give ppl "stem cell" injections, but honestly we should have figured out that shit by now).
If you tear a ligament/tendon, guess what, that shit will never heal back to 100%, and the "oh just rest and do physical therapy" shit is annoying because you're only really working around the problem and not solving it.
On top of that, as you get older it's harder for your body to heal from injuries, sickness, etc. and I've yet to see any legit progress on anti-aging. If your heart is damaged or arteries clogged, I don't see any way to reverse it.
And after covid, it's all been fucked. How many people have long covid and the medical establishment just throws it's hands up basically treating an entire segment of the population as though it was a bad crop yield ("I guess there's always the next batch!!).
And doctors themselves are often the biggest dipshits out there. They are high off their own supply because they're "smart" and lack the empathy to actually listen to patients. Either they're older conservative types or younger lib dipshits. And there are so many horror stories about nurses that talk shit about patients. It's just dismal.
The common reply is that "biology is hard" but honestly that's a WEAK excuse. So many advances were made in the past, and there are so many more to be made. An actual concerted international effort, unhindered by profit motives and fucking insurance, hospital, pharmaceutical industries, etc. would almost certainly yield results. I mean look at Cuba coming up with a lung cancer vaccine and curing HIV in an infant. Look at China curing diabetes in that one guy. These advances are possible, but honestly they aren't coming fast enough. If you're suffering from a terrible disease/ailment, the "promise" of a new drug that still may be 10 years away is just terrible.
So even if we had 100% socialism now with free healthcare, there are still so many things that need to be addressed. I can't help but think that had the Soviet Union not fallen, we would have had cures for many things. Hopefully can do something about this, but overall I'm still super bummed that the future we dreamed has not materialized.
It does suck that things are moving slowly. There has been good news. Like Hepatitis C is completely curable. Hepatitis B is pretty close to being outright cured and can be controlled by antivirals like HIV (affects millions in the global south). HIV is preventable via PREP and completely controllable with medication with very little side effects that stop you from spreading it. HIV vaccines are probably going to be in our lifetimes.
There's a lot of discussion about Ozempic, but GLP-1 agonists (and a different class sglt2 inhibitors) are huge breakthroughs not just for diabetes, but for heart disease, renal disease and a bunch of other conditions. It sucks that capitalists are rolling out the near miracle medications and focusing on the wrong thing (like exclusively weight loss), but they're a crazy breakthrough in our lifetime.
But I definitely agree if the Soviet Union was around we'd have better stuff, from collaboration rather than competition.
Hopefully more breakthroughs are on the way!