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A two-tier health care system - one that tolerates different standards of access and care according to wealth and social position - is morally unjustified because health care is a basic human right of fundamental importance.
A system of socialized medicine like that in Canada is distinctly un-American and will lead to massive rationing of services.
In order to have a coherent health care financing system, it is essential to sever the link between employment and insurance.
The best feasible way to guarantee everyone access to a decent minimum level of health care is to fund a comprehensive network of public hospitals and outpatient clinics as a safety net for those without health insurance.
References:
Hall, M. A., Bagley, N., & Orentlicher, D. (2018b). The Law of Health Care Finance and Regulation (Aspen Select) (4th ed.). Wolters Kluwer.
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