They also have supplemental insurance for the copays, which is both mandated and subsidized (like Obamacare).
I'm not saying Japan is not the ideal system, maybe it is, I'm just saying how do you make it happen politically...
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especially given how 45 has laid bare movement conservatives' electoral impotence (and they're your compromise target presumably).
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Right now, neither Bernie's plan nor a Japan-style system can happen, but maybe if Dems win some dang elections for once...
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