Betsy McCaughey has some good questions for the presidential candidates about health insurance mandates.
There are many behavioral factors when it comes to a large, mixed population and follow-through on health care. It would be incredibly difficult to move from the current state of participation to 100%, without becoming draconian and without considerable expense. Generally speaking, I observe that the political "solutions" in health care generate more negative unintended consequences than were expected (witness the current situation in Massachussets, and national programs in Canada and Europe).
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