He's saying it's no different.
It's like a poker player saying, **** it, I'm already down $1000 I might as well pump off my last $1000. Well, geez, it's still $1000.
He's exaggerating the direness of the situation to suit his argument. Yes we are losing our doctors, but not nearly the number we'd lose if the right wingers got their way.
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"For thousands of years humans were oppressed - as some of us still are - by the notion that the universe is a marionette whose strings are pulled by a god or gods, unseen and inscrutable." - Carl Sagan
Freedom consonant with responsibility.
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