I believe we can incentivize more affordable health care in general by better regulating insurance and creating meaningful competition for health care services.
Optimism is not inherently a superior way of viewing the world. Certainly doctors will say it might be better for one's physical health to be an optimist. But morally speaking it may not be appropriate in certain circumstances.
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I don't think it should be a surprise when we're talking about energy and trying to have more home-grown energy be less reliant on foreign oil when you look at our health care that we're trying to get more affordable health care that these are going to create major debates in this country and be somewhat polarizing.