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I think we are ignoring a very important fact here: Nobody thinks it is the federal government's responsibility to provide either health care or insurance.
Au contraire, mon frere! Many of us think it is the federal government's responsibility to provide health care insurance. Our colleague in Massachusetts feels that each state should handle it individually, but insurance works best when the pool is largest. breaking it into 50 small groups would make it more expensive and less profitable for the insurance companies who would contract it out. There always seems to be a disagreement about what is or is not the job of the federal government. We all agreed a long time ago that it's better to let the feds handle the military rather than breaking it into state militias and trying to organize them into a single fighting unit during times of war. And we agree that certain aspects of government are best handled by cities, counties, or states. Every citizen needs health insurance at least comparable to what Medicare provides. Who better to administer it than the giant bureaucracy that makes up the federal government?