The trouble with the healthcare debate in the US is a large portion of the country is covered by either Medicaid, medicare or employer insurance, the actual percentage of Americans with no healthcare, while massive by western democratic standards is electorally small, so while universal coverage makes total sense and works better than the mishmash system the US has, would undoubtedly be cheaper for the US and probably provide them with better healthcare you are asking the vast majority of voters to give up the coverage they already have in order to embrace an unknown system in a country where if it fails you are screwed.
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