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It is all about rationing care. No society can afford to not ration care in some manner. If I self ration my own care by deciding not to go, then it goes over much better than an insurance company or government denying me that care.

But if it's a public health system, at least that information about rationing will be publicly available. I'd much rather have a bunch of bureaucrats making decisions that are public knowledge because the needs of the many outweigh the needs of the few or the one than some group of executives deciding behind closed doors to deny coverage so they can get larger bonuses.
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