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Germany…

…isn't quite single-payer, more like a "public option".

…has far more labor-business-government cooperation than the US.

…has the oldest tradition of social insurance, but still their current system was the result of gradual expansions over many years.

…runs lots of government services better than the US.

…is only half the area of Texas, but that area is as population-dense as Maryland (our 5th densest state).

Why can't any 300 million people in Africa just adopt US-levels of public services by willpower and legal fiat? Why can't the US make our 50-million-member Medicare as efficient as the German system? These structural, historical, cultural, and political path-dependencies matter.

"Make it work because I don't understand how it couldn't" isn't a good basis for the largest nationalization experiment ever.





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