Breaking down single-payer health care

Health care in the United States is going through a political reckoning, with lots of ideas on how to reform or completely change the way people get and pay for health insurance. Many on the right want to move toward a more privately run system, with less insurance requirements on individuals, health insurance companies and employers, and less government subsidies and funding. House Speaker Paul Ryan: We want all the providers of health care services – insurers, doctors, hospitals, everyone, competing against each other for our business as patients. As consumers. But Republicans are splintered on just how to roll back the government’s role in individuals’ health care – something that came to a head when four different plans failed to pass the Senate in July. The left, on the other hand, wants to boost those public government programs and coverage requirements to give more Americans health insurance. Senate Minority Leader Charles E. Schumer: Democrats believe that health care is a right for all. One of their buzziest ideas is single-payer health care, where the government is the single payer that pays for Americans’ health insurance through a tax funded plan. Single-payer is a type of universal health coverage. That’s where the government ensures that every citizen has health insurance. There are lots of ways for governments to implement universal health coverage – at least 30 countries have some form of it The way our system works right now, there are a good deal of Americans who don’t have health insurance. In 2016, about 28 million, roughly 9% of the population, were uninsured and those who are insured have to work with a web of private insurance companies, employers, hospitals, pharmaceutical companies and government-funded programs like Medicaid and Medicare. Single-payer would funnel all of those negotiations into one channel, where the government determines a baseline of health benefits that it will fund for everyone and sets or negotiates the price for those benefits. Just like there are many ways to get to universal health coverage, there are also multiple ways to implement a single-payer health care system. Bernie Sanders and some Democrats are backing a “Medicare for All” proposal. This would expand Medicare, which currently pays for certain health services for Americans over 65 and those with disabilities, to all Americans. Polling shows that a majority of Americans believe that it’s the government’s responsibility to provide health care coverage and a growing share of Americans support single-payer health care. Those in favor of “Medicare for All” say that the plan with lower prices for health care services and medicine across the board. Americans pay double what many countries with universal health coverage do on health costs and many say that those costs would be lower if the government could bargain down or set prices. Conservatives are largely against Medicare for all because it would shift more costs and responsibilities to the government and away from the private market, thus requiring more tax dollars to implement. Ryan: Get Washington out of the business of being a nanny state. They contend that it would take away individual choice in health coverage Sen. John Barrasso: This complete government takeover of health care although liberals who support the plan argue the exact opposite. Sen. Bernie Sanders: The choice they made is they want to get quality health care And many moderates say that the transition to a single-payer system would be tricky, and could upend health insurance coverage if done too rapidly. But with public perception warming up to single-payer, and more and more Democrats jumping onboard, we could see more of these proposals in the run-up to big elections in 2018 and 2020.

92 Replies to “Breaking down single-payer health care”

  1. In single payer the government pays for healthcare, not insurance. Insurance is not healthcare. Insurance is a way to pay for healthcare.

  2. Paul Ryan is a filthy POS. He was raised on social security after his father died when he was young. But I guess now no one deserves assistance.

  3. I don't care if its a right or a priviledge to have healthcare. The important thing is that people can get help when needed. I read on Youtube someone with a broken foot caring for themselves. The politicians give themselves raises every year and are sooo overpaid and over privileged, yet Americans dont have necessary healthcare. Its time to cut their pay and put it towards single payer for Americans. Bernie Sanders is not your friend.

  4. How you going to pay for it. Quality then gos to hell. I don't want corrupt dems in control of healthcare. Why does everyone come here for care? because its better!

  5. FUCK OFF WITH YOUR HORESHIT..signle payer healthcare can suck my nuts..

    taxes will go through the roof, it will have shit service, doctors will be underpaid and hard to find, government will decide what gets government, long wait periods..FUCK OFF.

  6. Single Payer is Doomed Before It Starts
    By Ted Noel, M.D. 9 February 2018

    Donald Trump tweeted that Britain's National Health Service is "broke and not working." All too true: expenses have forced 40% of walk-in health centers to close, all elective surgery in January to be cancelled, and primary care has been decimated, it's not surprising that problems have surfaced. It is just as predictable that the usual call for "more money" echoes around the UK. All this is the result of economic laws that have been completely ignored since the days of Aneurin Bevan, the father of the UK NHS.

    The first is the Law of Rationing. In short, "Everything is rationed, either by price or by rule." I can't afford a private jet. Price rationing limits those to people of substantial wealth, and their high price acts as a signal in the market to balance the supply of private jets with the market of willing buyers.

    But suppose that the government declared that private jets were free. Everyone would want one. Suddenly there would be a shortage of hangars and runway space. And to pay for the jets, taxes on workers would rise, because the workers who build private jets have to get paid. The unintended consequences are mind-blowing. Ultimately, the government would have to start limiting who could have private jets. First, they would require a pilot's license. Then, more secure hangars would be required. Finally, you'd have to prove that you really, really need a private jet.

    Substitute "Free Health Care" for "Private Jets" and you get the picture. Nothing is free. As the protagonist in The Moon is a Harsh Mistress notes,

    "Gospodin," he said presently, "you used an odd word earlier — odd to me, I mean…"

    "Oh, 'tanstaafl.' Means 'There ain't no such thing as a free lunch.' And isn't," I added, pointing to a FREE LUNCH sign across room, "or these drinks would cost half as much. Was reminding her that anything free costs twice as much in long run or turns out worthless."

    "An interesting philosophy."

    "Not philosophy, fact. One way or other, what you get, you pay for."

    Or, as the mechanic in the Fram oil filter ad says, "You can pay me now, or pay me later." You pay either way. Unfortunately, if you try to be cheap by legislating "free" health care now, you'll pay dearly later. Health care that was rationed by price will become rationed by rules that make it less and less available.

    In England, this process is reaching a tipping point. A couple of years ago people were waiting many hours in the Emergency Department just to be seen by a doctor. So the NHS ruled in 2004 that 95% of all patients would be seen within four hours of arrival. In order to avoid breaking the rule, Emergency Departments refused to allow ambulances to unload their patients until the ED could meet the time standard. So patients were stuck in ambulances outside the ED door, and there weren't enough ambulances left to answer calls. Now the rule has been scrapped. Predictably, the left-wing members of Parliament are calling for more money. And that brings us to the second law.

    The Law of Subsidy says that "When you subsidize something, you get more of it and it gets more expensive." In England, this happened a bit more slowly than in the U.S. It may be that the older generations of Britons were a bit more "proper" than us Yanks, and so tended to rely less on the dole than current generations. This slowed the growth of the NHS but did not change the ultimate outcome.

    The National Health Service was sold as a way to provide health care to an underprivileged population. Aneurin Bevan stated that,

    "The collective principle asserts that… no society can legitimately call itself civilised if a sick person is denied medical aid because of lack of means."

    "The National Health service and the Welfare State have come to be used as interchangeable terms, and in the mouths of some people as terms of reproach. Why this is so it is not difficult to understand, if you view everything from the angle of a strictly individualistic competitive society. A free health service is pure Socialism and as such it is opposed to the hedonism of capitalist society."

    The language of his disdain for economic laws should be familiar in tone. By calling capitalism "uncivilised" and "hedonism," he presaged Saul Alinsky's Rules for Radicals and its call to "Pick the target, freeze it, personalize it, and polarize it." The truth is unimportant. Victory is all that matters.

    Bevan succeeded, but his victory is being erased by the Law of Subsidy. What was sold as a boon to the poor has become a subsidy for bureaucrats. The Law of the Bureaucrat declares that while a bureaucracy may have been created to deal with a perceived problem, the bureaucrat's Prime Directive is to ensure that he has a job forever. And because he was appointed to solve the problem, he's smarter than everyone else and should be paid accordingly.

    Perversely, the bureaucrat can never solve the problem, or his job would disappear. So he continues with the language that created him, trying to sell greater and greater funding for his failed enterprise. And when it fails more dramatically, he blames anyone but himself, and gets rewarded with a bigger budget. Ultimately, as Margaret Thatcher famously quipped, "The problem with liberalism is that eventually you run out of other people's money."

    The Law of Subsidy has killed the NHS. It just doesn't realize that it is dead. But thousands of those it was created to care for are dead, because it simply cannot fulfill its promised goals. And the U.S. is headed down the same path. Fortunately for us, voices are starting to point out real fixes.

    I have repeatedly pointed out that government is bad for your health. Just as with the NHS, the U.S. population has been sold the lie that insurance is necessary for long life. In fact, all insurance does is increase cost, because it's a subsidy for those who provide health care. But there has been a conspiracy of silence over this fact. Further, the treatment of health insurance premiums as a non-taxed "fringe benefit" makes it easier to subsidize further. In short, Congress passes a pretty "benefit" that you actually pay for. And it ultimately ratchets costs higher.

    President Trump has done a bit to reverse the trend, but private citizens are doing more. Medishare is a private cost sharing program that provides care at a fraction of insurance rates. Outpatient surgery centers such as the Surgery Center of Oklahoma operate at lower costs because they don't have to wrestle with insurance companies. And many physicians are now providing concierge Direct Primary Care at drastically reduced costs.

    What do these have in common? They are completely outside the government and insurance company umbrellas. Patients see how much their care actually costs. Providers work to be competitive in order to attract patients. And patient satisfaction is much greater.

    I spent thirty-two years on the medical staff of a major metropolitan medical center. There was no incentive for the administration to ever negotiate with an individual on price. Instead, it was always a deal between the hospital and the insurance company. My medical group did the same thing. We negotiated prices with Blue Cross, Humana, and other insurance companies. They passed on the costs to patients via premiums, all the while lobbying for more and more mandates on coverage.

    Could there be a system more devoted to screwing the public? No one is personally intending to cause harm to anyone else. In fact, my group worked hard to provide high-quality care. But the incentives are there for all to see, if they will look. The Laws of Rationing, Subsidy, and the Bureaucrat are laws of nature. Nothing will ever repeal them. Our only hope is to stop going down the roads to which they lead us.

  7. you forgot to mention about how Single payer health care says that the government has the right to take a way the money that I earned and give it to someone who doesn't put in the same work ethic that I put in

  8. The problem with all of this is they are trying to work out a plan that keeps insurance companies


  10. Bernie' s plan would only cover insurance, it wouldn't cover hospitals and doctor pay like the UK. It's a good plan. It's a middle ground between Canada's system and The UK. Kinda like France

  11. My personal suggestions;
    I would roll Medicare and Medicaid into one, to reduce duplication in admin, and so that the old, poor, and disabled are all covered under one single-payer institution, rather than spread across several. Maybe also include CHIP and the VA in this merger as well.

    The next part would be to allow individuals and employers to buy into Medicare, so Medicare is their health plan, instead of their previous insurer. This would be optional btw, so people who are happy with their current plan can stick with it.
    A good way to get the ball rolling here would be for the Federal Govt to transfer all its employees (almost 3 million) onto the Medicare buy-in plan, and encourage State and City govts to do the same with their civil servants.

    After that, allow Medicare to negotiate with hospitals and drug companies to achieve the lowest possible price for services and drugs respectively. Currently, Medicare isn't allowed to do this, which is mad, as even before people buy in, a combined Medicare-Medicaid would cover over 100 million Americans, and would have huge bargaining power to haggle costs down.

    This would mean that for the old, poor, and disabled, there is a single-payer system. For everyone else, there is a robust public alternative to private insurers, but they aren't forced to use it if they don't want. This would also create competition for those private insurers, as they would have to be careful to not piss people off by denying them coverage.

  12. Single payer means, the taxpayer pays for it… the government make no money, it just take it!

  13. I guess it could work…
    With TONS of public oversite.
    And ending all these dumb
    "Wars"…if that's what you wanna call them.

  14. Two comments: first, the fed gov't is not known for efficiency or quality of services; already we see Medicare as bankrupt and a service neither physicians nor patients want. Second, what's wrong with letting the market provide health care and get the gov't out of it? Insurance companies will lower prices via competition and/or providing more for the same premium. As a footnote, many hospitals have Indigent payment plans where part or all of the cost of services is waived, depending on the patient's income. I have yet to get a sensible answer from those who want the gov't to provide for my health care.

  15. The ONLY questionable thing about the single payor health care is What kind of QUALITY care/ treatments and Drs. will we receive? ????

  16. We need to reform healthcare. Prices are unnecessarily high and gofundme isn't the solution for those struggling to pay.

  17. Only Leftist fucktards are stupid enough to believe in single Payer health care. Already debunked (healthcare is a product by Ben Shapiro)

  18. Healthcare isn't something that corporations should compete about. It's a fundamental right for every human being, not just for the few. That's not socialism it's just humanity and taking good care for your people. Ryan and the GOP and also some democrats are in the pocket of those big pharmacies.

  19. The fact that Greece has Universal Health Care and the USA does not should embarrass us. I have seen health care in Greece and in the USA in action. The Greek system is plain and no bells and whistles. Businesses would be unburdened and insurance is a dumb way to fund health care since you must pay the bureaucracy of insurance that provides no value added. The insurance companies burn up dollars figuring out how not to pay for services even though the people paid the bills in all cases. Everyone gets seen at the hosptial wheter they have health care or not, so what you have now is that the bill is jacked up on everyone to pay for those who cannot pay and on top of it you have the massive waste involved in billing and coding systems.

  20. Public health care is like universal public education from PK to high school. It was unheard of before to spend tens of thousands of dollars in higher education as it is true today. My higher education expenses in the 70s were so low that it was very affordable for students. Now, the tuition in public higher education is not affordable to ordinary Americans and they are forced to take loans. That was unheard of during my time. There are certain areas we need to keep public, public roads, public education, public parks, public sidewalks, and public health care, and more… I think these are not perks but necessary funding so that the citizens are smart and healthy and can create ideas that could propel our economy into a thriving economy.

  21. A single payer healthcare system would never work in the US because Americans are taught from birth to think "ME" and not "WE", it's self self self and any left self again, if there was 100 food parcels and they were all grabbed by one person the 99 Americans left would let them have them because they would have done the same thing had they been given the chance.

  22. Why should I have to pay for some else's problems? Why should they have to pay for mine? If a smoker or heavy drinker get cancer through their poor decisions under a universal system everyone has to pay. The problem could be that most of us do have insurance, even doctors do not know the cost of procedures and medicare has been a financial disaster with both parties failing to provide adequate solutions. If both parties cannot even manage a simple budget what makes people think it can manage healthcare effectively?

  23. How can I get a job on one of those single payer death panels?? I'll double that income by taking kick backs…good health for all? Nope.
    Super high taxes and corruption? That's the ticket!

  24. More government intervention in healthcare will lead to a horrible Medicaid insurance coverage system for most and VIP healthcare for the top 1-5% who can afford it. Don’t kid yourselves, having insurance doesn’t mean you get healthcare services, it jus means you get an insurance card.

  25. I don't understand why we, the American People, can't have the same health insurance plans Congress has as we are already paying for them. So, we pay the most expensive health insurance costs and health care cost, and we pay for Congress's health insurance and health care costs…yep, that's some weapons grade BS, but the America People keep voting these assholes into office…

  26. Single payer seems the better of the two since 28 million US citizens don't have healthcare and the paying individual always have to make up the lost revenue through increases of private health care insurance premiums, prescription medicines, all the fees associated with a doctor visit and other costs. Single payer is the way to go.

  27. Absolutely terrible video. Single payer would not bring pharmeceutical companies and hospitals into one system. It would only affect payers. The part about negotiation of health care costs (i think you were getting at pharma prices????) was irrelevant to the topic of single payer. This did nothing to elucidate the issues thay are at the crux of the debate over healthcare reform.

  28. I feel like everyone just ignored the quality of the us healthcare while complaining about the pricing. The US health care is expensive because we only let the best of the best to become doctors. We have the best quality of healthcare in the world. I have a aunt who used to be a anesthesiologist in Canada and she said she has to be responsible for 24 patient who is hospitalised and in recovery. I don't know about you guys, but I don't want bad quality of our healthcare system.

  29. I used to be vaguely opposed to single payer, but it seems the only real opposition to it is ideological and somewhat simplistic ("Big gov't bad"). On practical and empirical grounds I really can't find any fault with the general premise, and the details could surely be worked out.

  30. i live in toronto and I was snowmobiling last weekend and I got frostbite. I woke up Monday morning looking like a zombie. I went to the walk-in clinic to check my face and make sure there is no permanent damage. I ended up waiting two hours but the doctor told me that there was no damage and my face should be normal in a week or two. I am so thankful for our healthcare system because in the United States I would just ignore it to save the fee.

  31. So who pays for this? I pay for my insurance my health insurance perhaps grow up and buy it! Democrats = Huge government higher taxes grow up!

  32. I just talked about my health condition two weeks ago and I got so many Americans thinking I was being sarcastic. I just want to say I am healthy as a horse again. Then the American insulted me for my accent Despite me speaking proper north American English, although People say I apologize way too much LOL

  33. American health care costs are going up because Americans don't watch what they eat. I see obese people everywhere! Also, Name one government agency in the U.S. that is good at controlling costs- Please tell me.

  34. no brainer, it costs less than the current system even by koch brother right wing studies.

    americans shouldn’t go bankrupt or die from preventable disease. they’re supposed to be living in the richest country on the planet.

  35. The problem with a medicare for all system seems like it would not pay for everything like the medicare program that we have now, am i correct?

  36. As it turns out sick and injured people aren’t so good at negotiating prices on their own.

    If the government gave contracts to whichever company can provide a medication at the lowest price that gives those companies a powerful incentive to be competitive.

  37. Sooner or later, one of our Democratic Presidential Candidates, will promise to-turn-back-on Obama Care and win the election. Obama Care is still the law of the land. Trump is just not releasing the funds. There should be no tax increases because America will push the cost to future generations. The insurance companies should like this because it does not put the insurance companies out of business like Medicare For All.

  38. Medicare for all means doctor, nurses, and administrative staff will have their pay significantly cut. In Scadinavia, the average pay of a doctor is $45,000 USD.

  39. Universal healthcare would be an disaster. It would cast the united states over 3 trillion a year to pay for. Thats more than 4 times what we spend on the military. Also, in places were this is implemented, beuracracys make desicions of care is necessary. In London were single payer is implemented, back and knee braces, MRI scans and even cancer treatments are limited. And if you cant get the treatment, you might just live with the pain.

  40. [Question] Without relying on competition, how will the government ensure that quality of medical services and technology continue to rise?

  41. If we ever have Single Payer, the VA would go out of business.
    Saw a study that single payer would cost over 32 trillion. How much does it cost for medical insurance to cover ONLY 20 % now. Single payer would not be free .

  42. Would America's Injured Workers lose out on 2/3rds of our Grand Bargain? Would Injured Workers be COST SHIFTED for medical care while losing out on time loss and Vocational services?

  43. You can have both private and government funded public healthcare operate at the same time. We have it here in Australia. Works well everyone gets looks after. Its way cheaper than USA.

  44. What "choice" of hospital do you have when you have a heart attack, you're unconcious, you were involved in an accident, or other life-threatening medical emergency?

  45. The problem with that free market horseshit when it comes to healthcare is that there are no corporations competing to cover the sickest people at an affordable price. How many insurance companies are fighting over who gets to cover cancer patients? Oh, that's right. Zero of them. In fact, they do the opposite and kick them off when they get sick or won't take them on without being legally forced to do so. Free market healthcare means "corporations are free to let you die or go bankrupt".

    And choice in healthcare? Who has any choice anymore? If you are lucky, you get it from your company but you have no choice in which provider they offer or what coverage plan they allow. If you are unemployed (and not already wealthy), you are already priced out of any coverage. Full price insurance is insanely expensive. "Choice" is a fantasy (well, actually a lie).

  46. I am retired. my former employer pays $1200/mo and I pay $600/mo . Medical, Drugs , dental , vision"The Cadillac Plan" , No deductible and very low copays. I worked 20yrs for $65K instead of $150K.I worked For true INSURANCE( and a pension).

  47. Every other country in the developed world has it. Why not us? Because the interests on the other side always scare everybody”. It’s socialism! Next thing you know, the Russians will be marching down Fifth Avenue”!

  48. yeah "X" million are illegals that pay NO insurance yet get treated. Relying hospitals and working "natives of the US" to pay for their care. What you don't realize is the hospitals have to take these non-paying/unable to pay individuals in, and that they don't have to prove citizenship, proof of insurance, etc. when they get treated and don't pay bills, the hospital has to absorb the lack of payment. If they get treatment and sign false names, etc. the hospital still is required to treat. Where do the hospital bleed the costs? To the people/insurance companies that can pay, and cutting staff. All the while these hapless pieces of s#!+$ keep driving premiums up on everyone else. Making hospital administrators cut nurses due to lack of hospital income, leading to down staffing and overworking staff leading to a compromise in patient care of the individuals that actually have insurance and pay bills to compensate for your democratic illogical thinking.
    It is belief in the democratic idealism that everyone deserves health care regardless of individual contributions. this lack of contribution to society as a whole drive down the overall costs. this, in my opinion, has exponentially increased the cost of healthcare. I have been around individuals that don't even attempt to better themselves and rely completely on not improving themselves etc. People taking advantage of the system, without regards to the system itself and what it stands for which is getting the patient/client back on their feet and not have to rely on the system. DEMO welfare and food stamps etc. was put in place for a reason… to get you back on your feet and help to provide socially and economically. there are, in fact, MANY individuals that have been in the program for 50+ years! No you useless pieces of bull fodder.
    and to penalize monetarily the hardworking individuals that have to support the lazy POS's or illegals playing the game… kiss my A$$!
    pill companies can go to hell too!

    well-fare: 2years max
    food stamps: 2 years max
    drug testing: monthly
    unemployment: proof of attempt at employment… bi-weekly
    if you don't like it, take the initiative and improve yourself.
    If you don't, try living on the streets for a while in a community similar to "Escape from New York/LA", see how long you last! Get out of the gene pool, you are useless.

  49. this is socialized medicine. talk to Canadians older than 45 and see what they think about the wait for care/treatment is. gee, I bet their illegals are at the bare minimum.

  50. What if I don't want to pay for other people's healthcare? I'm in great shape and eat healthy. I don't want to pay for overweight unemployed people. America has the highest density of obese people. Why shod I have to pay for that?

  51. We have already done this – it's called the VA and you can see how well that turned out. My wife's grandfather, who served in WWII died of a heart attack in the emergency room after waiting 6 months to get an appointment and get his heart checked. I've also lived in England. Paid 60% in taxes, so I could get "Free Healthcare" and still have to wait 3 months for appointments. If we do this here – nothing good will come of it. In fact,. I hope to god Bernie wins just so all you people that keep crying about this issue will shut the F#%k up when you find out your paying 45 or 50% of your income in taxes to support it – while doctors and medical professionals flee the career path, leaving you stranded.

    We are fighting for the same things – Affordable Healthcare – and I hate to break it to ya, but Insurance is not Healthcare. So, the next time you're at the doctors office with the kids – ask. Ask how much it'll be in case and you'll be surprised that you'd actually pay more if you use your insurance. I know this for a fact, because I asked about a weight loss procedure. It was $65,000 if I used insurance – 14 is I paid cash. Took the kid to the doctor for a virus, with a fever – 140 cash. 280 if I used insurance, of which only 140 was covered, leaving me with the 140 to pay anyway.

  52. Wait 🤔 if the government pays for healthcare and raise taxes, then would there be no need for health insurance?? Therefore, shifting the cost of health insurance to the government making the perception of higher taxes resolved somewhat? Am I understanding this right?

    Cost = Health Insurance + Medical bills

    Same as

    Cost = Government Taxes + Medical bills

  53. So how much would it increase an individuals taxes…. We pay 14-16% right now just out of our income. When adding in healthcare its more like 25% so what would the new tax bracket be?

  54. I am Not Sure if the American Government Should be Trusted With a Healthcare System for the Citizens – I Do Agree With a way For Everybody to Have Healthcare – The Insurance Moguls are Against it

  55. 2:45 Get Washington out of the business of being a world police state! And for you neocons that will hate on me, I voted for Trump.

  56. What's sad is we're falling way behind in all vital statistics, we're a running joke to the rest of advanced nations

  57. Not gonna happend. Obama had the House and Senate, but couldn't push other than his Frankenstein Bill that just made Healtcare more expensive despite its name. Why cause most of the Dems in Congress are bought and sold. So you think that the private insurance companies will allow a single payer system that would squash their billion dollar profits. Keep dreaming. The American politcal system is corrupt and run by big business. Just look at Washington Post the socalled watchdog of American democracy now owned by some monopolist billionare who looks like Lex Luther… What a joke!

  58. Hi i just liked to call in i have this cancer and liked to ask for an offer of treatment … okay it's 200.thousand at least but you have to check back if i can get this offer in the next 3 or 4 month or if i have to wait a bit longer .. i will think about it and call you back …and look for another offer … thats the way you do it …

  59. I have health care, Medicare a and b . We do not have quality health care in this country. Gready big pharma, and high medical costs for any medical treatment. So pay but don't use.

  60. If citizens want “free” healthcare they should be held to a basic standard of preventative measures. Drug abuse, overweight, bad diet should not be tax payer funded.

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