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I'd knock 100% off and make it non-profit with a socialized healthcare system just like almost every other western country in the world.

A majority in the USA even favor it.

http://www.pewresearch.org/fact-tank/2017/06/23/public-suppo...

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There are many western countries without a single-payer (socialized) system. E.g. Germany, Belgium, the Netherlands, France, Austria, Denmark, Ireland, Greece. That said, almost all of them have national price setting, almost all of them have a mandate, and almost all of them are much more generous to the poor who cannot afford insurance.

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