I see compulsory insurance and government healthcare as very similar. Usually the argument is made that the private sector can do it cheaper, but consider that they need the same administration either way and dividing it over several different corporations can lead to overhead such as each of them having a CEO and a board of directors with enormous salaries whereas the government could do with one department head who probably gets paid less. Surely the corporations would save costs by paying the line employees less, but how low wages are good for the country is another topic worthy of discussion.
It is possible to get a decent healthcare system without having the government as a single payer, we happen to have that in Germany. It keeps getting changed though and the whole system seems to be run in some weird government/insurance cooperation. For people who make a lot of money or are self-employed we also have a seperate private insurance industry, which apparently amounts to making one a first-class patient since they pay the doctors more or something like that. However, health insurance is compulsory for most things here and the big standard insurance companies can't just take it away, even if one does not pay repeatedly AFAIK. During employment the payments are deduced before the wage is paid out though, just like income taxes and other things.
The point is, it does not really matter, as long as everyone is covered. The Republican plan is terrible because it does not cover everyone, drives up the cost, benefits the ones who have no problems with healthcare anyway and basically turns the US even more into a class society where the amount of wealth determines the worth of a human life. And it is only made worse by their claims to be the moral party that stands for family values etc. Lies, lies, lies, I say...
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