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I support a single-payer approach, largely simply because the biggest risk pool spreads the risk most evenly, but I think we have to be very careful with the word "right". I agree that basic medical care can be considered a right, in the sense that a wealthy society, which we are, is morally obliged to provide it to its least fortunate. But there has to be a limit to what counts as "basic"; if we don't impose one, we're going to wind up with even worse cost inflation than we have now.

The rich will have better health care even in a single-payer system, and I'm fine with that.

The thing I really don't want is the pre-ACA system, where only people with good jobs can get access to health care.

BTW I saw a great Yonatan Zunger blog post on this a while back... ah, here it is: https://healthcareinamerica.us/how-to-ask-good-questions-abo...




You hit the nail on the head with what counts as "basic" - as long as politicians can win elections by giving a benefit to people that they don't have to pay for/or collectively can't afford, I'm not sure how you ever contain this problem...




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