Okay, but if the small changes were disastrous, whats the guarantee that the big ones will not be?

Totally different things. It's like saying if I tweak this nob and it goes bad, well, why should I switch to a completely different system three counties down? Especially when that totally different system three counties down works for every other developed nation in the entire world. And also some of the developing ones. You should be defending why the American system is better than every other country in the world in spite of their lower costs, better access and better healthcare and better outcomes across the board. Private care in the US costs two times as much per capita as socialized care in Canada, doesn't cover everyone, and yet Canada's outcomes are better and Canada places higher in WHO rankings.

Making small adjustments to a doomed system is just akin to rearranging the deck chairs on the Hindenburg.

I'm suggesting maybe fixed-wing aircraft that aren't full of Hydrogen.

The american health system is worse than other countries for intense regulatory capture and regulation, thats my assessment and one shared by many economists in the healthcare space. Socialized programs dont resolve that. Having medicare for all does not abolish patent law, or creates doctors out of thin air, or reduces the cost of medical school, those are recognized problems. The socialized medicine plan is mostly hiding away the cost and paying it all through taxes: not making it cheaper. That way, the only way you can do it cheaper is by reducing the state offering.

You will not get the canadian health insurance by signing a law that says you will. You will get the american version of it. Please bear in mind medicare itself is also more expensive than canadian health services as it is, thats what the american state gives out.

>> The american health system is worse than other countries for intense regulatory capture and regulation, thats my assessment and one shared by many economists in the healthcare space.

I addressed where cost savings come from in another post you may have missed, another reply to your comment with specific examples, we can take that over there.

>> You will not get the canadian health insurance by signing a law that says you will.

Funny, that’s how we got ours in Canada in the 1970s, you should read up on it and on Tommy Douglas. No need to be defeatist.

We had a for profit system, and it was the worst, so we changed it. I’m not sure why America would be incapable of that when we weren’t. Further as in Canada, the system can be defined as the federal government requires minimum standards of care and the states execute in the way that makes sense for them.

Obviously Medicare is more expensive. America doesn’t have a free market for healthcare. The young, healthy and cheap to insure obtain cover in the private markets. All the worst customers (the sick, the old, the dying) are removed from the market and their care is already socialized. This is the definition of a manipulated market: privatized gains, socialized losses. The cost to cover for Medicare will drop substantially when the healthy pay for the sick directly the way it’s supposed to work.