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So healthcare is one of the areas of society where it makes the most economic sense (!) and 100% pragmatically to have a large public insurer that doesn't need to make profit.

And most countries in the world have it since like mid-20th century, but not US because "values".

Same for pensions, public infrastructure, education etc. In most cases obviously the system is not 100% public but a hybrid between public and private - whatever works.

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