“Every two years the American politics industry fills the airwaves with the most virulent, scurrilous, wall-to-wall character assassination of nearly every political practitioner in the country - and then declares itself puzzled that America has lost trust in its politicians.”
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Science has everything to say about what is possible. Science has nothing to say about what is permissible.
If you believe that health care is a public good to be guaranteed by the state, then a single-payer system is the next best alternative. Unfortunately, it is fiscally unsustainable without rationing.
It is enough that the people know there was an election. The people who cast the votes decide nothing. The people who count the votes decide everything.
So long as we have enough people in this country willing to fight for their rights, we'll be called a democracy.