The question of "How will you pay for it" re: universal healthcare (or any social program) has two meanings: 1) Where do the resources in the economy exist to do it, and 2) How will you legally and politically create a system to make it happen They are very different questions
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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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Look, I hate the big private insurers too, but they exist now and they're very powerful The NHS in the UK was formed at a time when "health insurance" was only purchased by the rich, most doctor's visits were paid in cash and the NHS was the first insurance most people ever had
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That's not the world we live in anymore and we can't recreate it Path dependency is a thing
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Replying to @arthur_affect
Eh there are several paths. If you passed a bill lifting the income cap on Obamacare medicaid expansion, making enrollment automatic, and setting price controls precisely equal to medicaid reimbursement rates, that would bring you most of the way there.
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If I'm not mistaken Warren's "halfway measure" is to do most of this with EOs upon election and then later propose legislation to lock out in
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