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We already had an effort by the left. You can “no true scotsmen” if you want, but it represents the reality of what will happen when ideals clash a sector that makes up 18% of the GDP.

What’s going to be different now than in 2010?

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Are you referring to the ACA here? That was a compromise bill that props up the current system in the US, primarily created by right leaning centrists.
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Why is this downvoted? What the (far) right wing has done to american institutions is incredibly destructive and it will take decades to fix it, if that's even possible. People are hurting because of it.
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