Bernie Sanders' "Medicare for All" plan is really expensive over a 10-year period....

[Aegon]

I don't personally support single-payer. I don't think it's the best way to go in the US.

What's so special about the US that a system which works everywhere else it's been tried wouldn't work there?

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Too many Americans have and like their  employer provided private insurance for single payer to gain widespread traction. From what I know, a two tier system where you can choose between public and private would be the best way to start universal healthcare. Single payer should be a goal,  but it's unrealistic to think we can get there in less than 40-50 years, IMO.

Two tier leads to two outcomes for the public part, either a) carrying the can for when privately insured medical procedures go wrong (thus absorbing the most costly treatments, publicising the costs and privatising the profits) or b) a poor service for poor people.

It's not pragmatic. That's my point. Single payer would not be popular, it would be impossible to implement rn. There needs to be a segway.