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Yet even he accepts, as much as he rejects all form of authoritarian government with exception for necessary policing and the military, a national single system is desirable and inevitable, inclusive of mandatory participation by providers as a condition of their licensing.
I firmly believe basic healthcare under the auspices of government regulation must replace procedural insurers, and it is not a right but an obligation for government, even if actual management is contracted to outside experts.
You do remember that Nixon finally offered to help Ted Kennedy set up something that sounds a lot like that and he mentioned the notion of patterning it after the old Kaiser system of the time period. It was eleventh hour bipartisan compromise stuff direct from the White House itself.
"Say the word" and he was ready to lean on every Republican until they howled and yelled "Uncle".
That bastard Ted responded with some nonsense that sounded like "not invented here/not interested" and Nixon said, "Fine, offer withdrawn".
And Ted went to his grave saying it was the biggest blunder of his entire career and that he would never forgive himself for it.
And no, it would not have required an amendment to the Constitution, as someone else just implied...there's that attention deficit thing again.
The phrase "under the auspices of government regulation" implies that Congress simply writes up the bill and does a vote, and Nixon would have signed it, and BLAMMO, it would be done.
And as you said, it would exist today alongside the still operative pure private sector business for those who can afford everything out of pocket.
A UCLA cardiologist with bonafides similar to your friend's has kept our son alive for much of his twenty-three years.
On a personal level, as flawed as the ACA is, and I agree it is terribly so, it is the only way our son will ever have insurance of any kind and I am too old to be able to rob banks if he loses that, and all this bouncing back and forth with him about to lose his coverage any moment is going to kill my wife one of these days, and maybe me too.
She served honorably and doesn't deserve such heartbreak and stress.
So yes, the idea you put forward, and which your doctor friend approves of, is the moral and patriotic thing to do and in the end, the real dividend IS a healthy America, which pays an ENORMOUS amount on many levels, certainly on the fiscal realm to be sure.
It sure would beat the ACA hands down.
Generation after generation of unhealthy people is going to wind up being the biggest debt sink of them all if institutionalized generational ignorance doesn't do us in first.