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I've written extensively on the health care policy reform issue lately. See my latest two posts. Link in my name.
My conclusion, following Guiness Book candidate detail in one of the posts:
"I have to admit at this point to a net leaning toward the Single Payer concept, potential warts and all. I do not see that happening anytime soon, however -- certainly not this year. We seem to be headed toward an inscrutably hyper-complex re-jiggering of our no-value-adding "health care" paper-pushing industry. I hope I'm wrong."