Subject: Re: impractical promises?
Medicare for All is definitely possible but it doesn't mean everyone can get all the healthcare they want at the level of service they want if they are relying on other people specifically the taxpayers to fund it.

Health care is a scarce and valuable resource subject to rationing. If not rationed by market forces it will be rationed by other means.

Often the other means are obscure mazes of bureaucratic decisions and delays or simply shortages caused by lack of adequate supply.

The perfect example is NYC w Mamdani and his free bus rides. He declared free bus rides by fiat. Bus fares just increased to $3.00. In principle there are free bus rides of you can find a free bus to ride on though.

The U.S. already has a system of free healthcare for the extremely poor called Medicaid.

At some point the solution is that the 5% of the population using 50% of health care dollars and 1% using 21% will have their spigot of health care dollars cut off.

The rest of us will also see cuts especially in the availability of subsidized care for procedures which are not for life threatening issues. Instead of getting that knee replacement in three months it may take three years. Or never. Don't like it, pay for it yourself.

Entire industries will have to change. If you know anything about personal injury claims then you know how much if the supposed medical care received by patients is of questionable medical necessity.

When people complain about rising health insurance premiums they are really complaining about having to pay for other people's medical costs due to risk pooling.

Personally I resent having to pay for other people's obesity drugs because apparently most American adults are now obese and can't stop stuffing food in their faces.

There's lots of other things that other people won't like paying for. That one is obvious because there is a behavioral solution that renders these drugs entirely unnecessary. STOP STUFFING YOUR FACES.

One of my extended family relatives a young woman who is about to have a baby apparently has gestational diabetes. Or so I was told.

Eff that she was obese before getting pregnant. The pregnancy may have pushed her into diabetic territory for some metabolic reason but she was very unhealthy to begin with. Don't blame that shit on the fetus