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Actually, the Obama administration floated the single-payer concept during the ACA negotiations as well, Josh--well after 2003, of course. Single payer would dramatically reduce wasteful administrative costs, and it has worked just fine in a number of advanced countries. As numerous posters on the Fool have repeatedly pointed out, private health insurance companies offer _no_ added value to the equation.

And please don't conflate insurance with private health care or hospitals. That's a familiar rhetorical trick, but it has no basis in fact. No one who gets a reasonable hearing has ever suggested socialized medicine in the United States. But each time the prospect of single payer comes up here, fear mongers trot out the silly "commie" smear and start talking us down the path of Armageddon.

The mongering over the ACA resembles the strategy in the face of devastating man-made global warming: change will have short-term negative consequences, so better not to do anything at all, even though inaction imperils us all. Even proponents of the ACA have never proclaimed it flawless, though of course that hardly inhibits the conservative "straw men." Obama had to make numerous concessions to the private insurance lobby in order to make piecemeal, somewhat-unsatisfactory changes. We are headed toward single-payer, though; we will get there eventually. Meanwhile, corporatists will scream madly and daily about communism and the loss of "freedom."


Ignorance and arrogance are a dangerous combination.
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