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I suspect the reason is there is no profit in universal health care. Think about it; the "ACA" (aka Obamacare) was written by the health insurance lobby. The law ensures that profits for health "insurers" are 10% of money spent on medical care for their clients. So where is there an incentive to control costs? I bet an insurance company would rather pay out 200K for a procedure rather than 100k.
90% of the people in the "health care" industry do not provide direct patient care.
There is no way to screw over Americans with universal health care therefore it will never happen.
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