idea: every state works out their own healthcare system (ala Vermont) instead of trying to drag the whole country one way or the other
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Replying to @380kmh
How do you deal with funding? State taxes can't rise to the same levels at federal income taxes
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Replying to @EfficientAG
you say can't like it's a law of nature; if you wanted to decentralize healthcare you would also want to decentralize the associated taxes
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Replying to @EfficientAG @380kmh
And I mean not just end user costs, I mean total healthcare spend/per person, regardless of payer
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Replying to @EfficientAG
it could cost the same and still be an improvement b/c no national conversations every time you wanna fix this or that part of it
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Replying to @380kmh
The civil rights peeps will scream when red states remove x portions, and the country divides further into 2 realities?
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Replying to @EfficientAG @380kmh
To be clear, not sure what I actually prefer or endorse, jsut thinking out loud
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Replying to @380kmh
But now that I have your attention; your twitter is one of the best parts of my feed. Thank you!



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thank YOU! I'm always glad when my twitter can brighten someone's day 
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