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[return to "Financial lessons from my family's experience with long-term care insurance"]
1. GnarfG+Th[view] [source] 2025-08-02 16:14:33
>>wallfl+(OP)
There are three things a nation needs to accept about universal health care:

(1) It’s expensive (2) Everybody has to pay (3) The government’s gotta run it

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2. gruez+zk[view] [source] 2025-08-02 16:34:16
>>GnarfG+Th
>The government’s gotta run it

But there are plenty of countries with functioning healthcare systems that are private? The Swiss, for instance. Moreover depending on what counts as "government’s gotta run it" (paying for it? administering it? actually providing care?) you can argue that the German or even Canadian systems aren't government run, at least to some degree.

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3. olddus+hm[view] [source] 2025-08-02 16:45:53
>>gruez+zk
So why don't we see Republican Americans advocating to adopt the Swiss system which provides universal coverage at a lower per capita cost?
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4. dayjah+Cp[view] [source] 2025-08-02 17:07:25
>>olddus+hm
If you only ever look at the way a system works at a specific point in time you only observe it at that point in time.

America has had multiple attempts at solutions for healthcare over the years, each started with good intent and then waylaid by various causes to produce what we have right now.

A sibling comment mentions political compromise to pass the ACA, as an example of this.

Another example is that HMOs were started with inherent goodness, but got “corrupted” (in my mind) by profit seeking.

To directly answer your question: a core tenet of the Republican tent is minimal government involvement in day to day lives of the citizenry. Ergo, the Swiss system won’t work because it involves a lot of bureaucracy. Republicans link bureaucracy to cost, and feel this is not an appropriate use of tax payers dollars.

The holes in this political doctrine are not part of my answer here fwiw. Please no “but…” comments to that end :)

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