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It is exactly as crazy as it sounds, unfortunately. But due to many years (decades!) of pre-meditated political maneuvering, one of our political parties has managed to inextricably relate any kind of desire for "single-payer" or "socialized" medical system with effectively being a communist USSR apologist. No exaggeration.

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Except for Medicare.

Medicare is not a single payer system (which is why I get confused when sibgle-payer advocates say they want “Medicsre for All”); it's more like “Obamacare with an public option for some services”; the prescription drug program (Part D) is private plans with public subsidy, and Medicare Advantage (Part C) is private plans for public subsidy as well. Parts A and B are public plans for core inpatient and outpatient services, but theres been a big push to Advantage plans (including as a vehicle to handle Medicare/Medicaid “dual eligibles”.)

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