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Our representatives and senators in congress aren't confused at all. They know 60% of the bankruptcies in this country are due to our lack of universal health insurance. They know Americans pay the highest amount on health care in the world for coverage that is the riskiest in the world.
They also know that the health insurance lobbies give them good, green money to side with the most powerful overpaid executives in the world, American excecutives, and let the rest of us fend as pathetically as we can trying to get our broken leg fixed.
Conservatism only works until someone gets an advantage and a monopoly on a service. This is unfortunately always. Our health insurance companies are in that position. Our executives are in that position and shall remain so until their companies crumble underneath them as the common people go bankrupt. This is happening now.