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For something like this as a first pass, for sure, but if it can be shown to be "realistic" then I have no problem with the Feds enacting it. I especially feel that we need a single-payer option for health insurance. We're the only major "wealthy" nation with a completely regressive health care policy that punishes people for being poor to the point we just let them die if the $ aren't flowing

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We need a public healthcare system, but whether it should be single payer is not readily evident, and I rather suspect that clinging to that particular model is what's causing progressives to get stuck trying to push it through. It's probably because most people in US immediately think of Canada when they think of socialized healthcare, and there's very little awareness of what other countries do on either left or right, so we're essentially perpetually debating the Canadian model. We should look at Europe instead and pick something that's both proven to work and more agreeable with American sensibilities. German, perhaps.

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