Yeah, the trumpistan elites are so afraid of dying that what they do gets beyond absurd and is on par with that scary conversation of one crazy vladimir putin with his Chinese counterpart about living up to 150 if human body parts are readily available for replacement.
At the same time, these very elites are happy to leave the populace without vaccination and viable insurance options and to kill research for the dumbest ideological reasons that expose their ignorance and don't bear out even a simple consistency check.
Go figure.
Obligatory quote against the censor trolls. However I have two substantive responses to your topics.
First, I think the extreme megalomanics with sufficient resources are already cloning themselves. Still a secret, but I think the basic plan involves a series of clones a few years apart, all of them carefully indoctrinated to believe whatever the cloner believes. The "upgrade" plan will involve only one major jump, presumably explained as a "relative" who just looks remarkably similar to the megalomaniac at the head of the chain, and then each few years a fresh prime-age clone will be swapped into the top (and only visible) role. Not sure how long the "prime-age" span is, but the plan will be to make the cloner appear to be ageless. (And by the time it becomes obvious what is going on, no one is expected to be able to do anything about it.)
Second, the extreme sociopathic elitists only want medical care for themselves. The only reason "the peasants" should get any healthcare at all is for the sake of developing new medical treatments for the elite. Human guinea pigs, but treated with less respect. Apart from that, they probably believe that peasants can be allowed to buy whatever healthcare they can afford, but at full market price and while maximizing the profits for the elite.