Lorien
nah, you can throw a few stones. I said "pretty close to libertarian" because I know there must be some form of taxation for any government to exist and provide services/protections to its citizens.
I agree with you that it's a tricky situation: the free market drives innovation which should benefit all, but the free market leaves many cracks for people to fall through. The big joke about the US system is that it really isn't a free market for the average citizen. Citizens must either (1) accept whatever health plan is offered by their employer, (2) if no plan is available through an employer then they must choose a plan through their state's "marketplace," (3) apply for coverage under Medicare or VA system, both of which are fraught with issues, or (4) opt out of any coverage and pay out of pocket for all, plus pay a federal penalty (but super important to remember it's
not a tax). Then, any care or meds that fall out of your network (which happens frequently, particularly with specialists and mental health) are usually borne 100% out of pocket. The truly destitute don't participate in any of the above and can generally be booted from a hospital after being brought to stable condition.
I can't even begin to comprehend the fiscal gymnastics the insurance companies go through that drive prices so high.
It's a dysfunctional system that gives a thin illusion of choice, when in reality most citizens really only get to choose the best of a few bad options for coverage then pay extra out of pocket anyway. Idk what the best solution is, but the system we have isn't it.