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Let me shock the chit out of everybody, they should just extend Medicare to everyone, with some adjustments.

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Some type of universal health care is coming, like it or not. Without whining, bitching and crying about how the financial side of Medicare performs, it will still be the cheapest and best performing overall, most likely. Its staged on what you have and can afford, and most notably only forces you to accept the basic, which doesn't have to be a freebie.

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whatever happened to here's your bill, pay it

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It never existed dumbass, even among the rich.