As an American, I think most of my countrymen's arguments on the subject resemble something like "learned helplessness". The "healthcare system" is craptasm of kludges that each partly counter the fundamental irrationality of rapacious private healthcare but introduce their own idiocy. So the arguments and "ideas" involve this already dumb measure needs to be changed in that half-assed fashion. A few election cycles ago, an old woman was quoted saying "get the government out of my medicare [medicare is a state program, for foreigners trying to understand this stuff]"

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