EDIT: I can see my karma for this comment is swinging around wildly. Consider the following:
* You are (based on the typical HN audience) probably young now, most likely healthy. You will eventually get older, and will likely have medical issues eventually.
* I argue that healthcare is not something to be earned, but something you are entitled to as a human being. No one should ever die from health reasons due to not having enough money. If its too expensive to do this (which is clearly false, as other countries are able to do so with less money than we spend in the US), we use R&D spending to ruthlessly drive down the cost.
* I came to this point of view over time. I am a healthy young male. I've known people who have died because they couldn't afford healthcare. I've known someone who worked as a prostitute to pay for her SOs cancer treatment. My mother would not have been able to afford a surgery to mediate her degenerative disc disease in her spine without the affordable care act.
I am not arguing for the elimination of the tech startup scene in order to have universal healthcare. I'm arguing for the transition to single payer and the streamlining of healthcare deliver in the US to lower costs AND ensure coverage for everyone.
We're a first world developed country, and its about time like we acted like one.
Of course, there are other things that are not so good for businesses in various European countries, but I'd chalk up the health care system as a win for small companies and entrepreneurs.
Insanity.
[1] http://data.worldbank.org/indicator/SH.XPD.PCAP?order=wbapi_...
umm.... so what? we should sacrifice the health of a nation of hundreds of millions of folks so a few hundred thousand get to work at 'homegrown tech giants'? w00t!