The HCS has been a bit of a cluster fuck for a while. The two rational directions, IMO, are a RADICALLY more free market (no we didn't have one) or a single payer. The Ad Hoc fixes are just a mess on top of mess.
Land of the free is an idea, an aspiration. It never existed. Government was never not corrupt and big business has a simple vested interest in being close to law giving if there is going to be something like a state. The bigger and more powerful the state, the MORE business will be involved with it.
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