As a single-payer advocate I believe that at the end of the day if a state goes forward and passed an effective single-payer program it will demonstrate that you can provide quality health care to every man woman and child in a more cost-effective way.
If the goal of health-care reform is to provide comprehensive universal health care in a cost-effective way the only honest approach is a single-payer approach.
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Look if you have somebody who doesn't have health insurance who doesn't have a doctor or dentist and in order to deal with their cold or flu or dental problem they go to an emergency room – in general that visit will cost ten times more than walking into a community health center.