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No, it's not mandatory like the ACA.Okay, we’ll that wasn’t my understanding, then we come to the issue of the cost?
But I will play Devil's advocate to my argument, by claiming that to go from the current 35%* single-payer "take" rate in America, to a more substantial take, could have some unintended effects on the private insurance markets.
*My understanding is medicare, medicaid, and VA, make-up 35% of the U.S. heath insurance market.[/IM
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