It isn't.
(Although it is particularly shameless about it.)
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"shameful that America is the only modern nation that still leaves families at the mercy of profiteering" corps twitter.com/SenSanders/sta
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I truncated the quote to replace "insurers and pharmaceutical firms" with "corps", but your point is well taken nonetheless.
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Well, in the Czech Republic I had to pay a private doctor to get a sick note without having my appendix removed first.
I had mononucleosis.
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'Pay or no treatment,' is still worse than 'pay or bad treatment,' but yeah...