[quote=@Penny] I've worked in two different countries with universal healthcare systems. Neither of them were perfect but both of them had significant advantages over the American system. This is particularly true in the provision of pre-critical preventative care. Again, not perfect, but better. [/quote] I'm willing to bet they were also smaller. The US is very large and very diverse (meaning geopolitically -- population distribution, regional income, infrastructure, etc). The policies that work in New York are different than the policies that work in New Mexico. I don't think universal healthcare will work at the federal level in the US, and I base that on my experiences with TriCare and the VA system. I think that most, if not all, of the patients operating in either or both of those federal healthcare systems will back me up on that. Put simply -- this is not a conversation worth having in the US until the federal government can demonstrate competency with the VA. Until that happens, universal healthcare is delusional.