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.
Is Medicare socialism? You want to get rid of Medicare. And a lot of the people against health care do. I want to preserve it and grow it.
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I believe we can incentivize more affordable health care in general by better regulating insurance and creating meaningful competition for health care services.