[quote=@Penny] Ok? So we agree that a universal (in the sense that all people would be covered) healthcare system is possible? [/quote] Again, there is a nuance to my claims. I imagine we agree that should the problem be sub-divided into regional components and addressed on a regional level that it is possible a limited level of care could be achieved. I also imagine that we don't agree on the what that limit is and I also imagine that we don't agree on the cases in which the costs outweigh the benefits. Could we? Yes. Should we? Perhaps not in all cases; a question worth examining. [quote]Great, like I said I'm on board. Imagine the efficiency of scale you could get with 300 million people....[/quote] Likewise imagine the diseconomies of scale that could emerge from a flawed plan. Because the US has so frequently encountered diseconomies of scale in federal programs this is a concern that should be addressed.