Thank you for the well thought out post! I understand your point, but I still think a government single payer system could work. In the US we have social security and the government planned for the shrinking population and set aside enough money for the boomers. HOWEVER the funds were not protected by law and the government dipped into social security funds to pay for other things, hence the slight shortage we have now. This could all be avoided by simple language in the law saying taxes paid correlate to the population size and that funds cannot be allocated elsewhere. In this system I believe the US can still save money on healthcare.
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