> Larry  wrote:
> perhaps a Canadian single payer system, or a two-tiered system like Britain's 
> may not be appropriate for the US.

I think the problem is (and the cause of the length of this thread :),
is we're viewing moving forward.

The framing of your post implies - for me, maybe just my opinion -
that the US can and should take a greenfield approach.

My argument all along has been the US is not greenfield, nor is the
world greenfield.  We have a working system both in the US and
globally that people have their lives invested in.

So the question is not what's the best greenfield country-wide
healthcare approach for the US; the question is:

What's the best "next-state" approach for US, given we operate in a
global economy?

In other words, I'd say we've got "current-state", "next-state",
"future-state", and "final-state".

I think the nationalized healthcare advocates that have posted to this
thread are not considering "next" and "future" and I think that's a
big mistake if we view it that way.

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