Listen, we should fake a catastrophic collapse, send all the billionaires into their bunkers (if they do not have a bunker, the state will build them one). Once they're siloed off, control all information coming into the bunkers to maintain the illusion of the apocalypse. Meanwhile, we clean up the world and dismantle any vestiges of capitalism, build utopia etc., at which point we make contact with the now feral remnants of the billionaire class, tell them everything we did, show them around a wonderful world free of want and pain, make them confront the fact that they were the ones holding humanity back.
spoiler
And THEN we put them up against the wall.
The medicine thing literally happened though? perhaps a global pandemic (that we have now completely memory-holed) has had an impact on the availability of medicine?
and power did get prohibitively expensive for many people? Dastardly Russians with their accurate reporting of current events.
"Why do the Russian intelligence services feel the need to remind westerners that nuclear war is a bad thing? Is it because we are worshipping at the altar of Death and no longer fear the warm embrace of Hellfire? NO! the russians are trying to steal our bodily fluids!"