People intentionally confusing the two to score points is very annoying I KNOW that the existing health insurance system is full of waste and if you made it disappear and replaced it with single-payer you'd save money The question is HOW DO YOU DO THAT
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"I would do it by starting a revolution" is not a satisfying answer, at least not when you're promising to get it done sometime in the next five years
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As long as I've been paying attention to this issue the most plausible path toward universal coverage has always been a universal mandate + public option and the public option steadily grows to cover more and more of the population
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This isn't a half measure being proposed because Americans are uniquely recalcitrant capitalists, this is literally what happened in several European countries, whose universal coverage evolved from or in some cases still is a "mixed" system
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But now we're being told this is unacceptable and the only way we will ever see universal coverage is if an iron-fisted President marches into the corporate offices of Blue Cross Blue Shield shouting "Your business is over! To the guillotine with you!" Sorry if I'm skeptical
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Replying to @arthur_affect
There's obviously no middle path between hoping people like Pelosi will let you pass good legislation and rolling out the guillotines, right? It's not like you can do speeches, ask people to cal senators and stir up popular pressure, or even call for strikes, right?
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Replying to @Freakademic
The President going on TV and demanding a General Strike is not as much of a fantasy as Bernie Sanders personally kicking down the door of Blue Cross corporate HQ and shooting all the executives, but it's a difference of degree and not kind
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Replying to @arthur_affect
Maybe, maybe not. The fact that it hasn't been done (here, recently) does not actually make it impossible or mean it would be ineffective. And you chose to respond to the most extreme option I mentioned and that any of us think might be remotely possible from him.
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Replying to @Freakademic
Unless you're proposing a Second Constitutional Convention to change how the Senate works, overturning the Senate GOP majority by presidential exhortation during Sanders' first term isn't even mathematically possible, much less politically feasible
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Replying to @arthur_affect @Freakademic
And honestly I don't see why passing a "compromised" bill now and getting more people insured now means you've "lost the war" and can't pass a hypothetically better bill later
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I mean that's literally what happened in Canada, presumably the model for what you want in America if you're using the term "Medicare for all" A "robust public option" under the Hospital Insurance and Diagnostic Services Act in 1957, which became mandatory single payer in 1966
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