re: What are the economics of Affordable Care Act?

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The argument for nationalized healthcare is that the single payer system as it exists elsewhere is more efficient in terms of dollars spent to deliver care. This is an undeniable fact which is not up to debate. The data also suggests that people in countries with nationalized healthcare generally live longer than Americans so even quality is difficult to debate. Where the debate exists is whether or not nationalized care is as efficent in terms of timeliness and whether this will meet the expectations of America's immediate gratification oriented society.

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Represents a perfect example of leadership transformation as noted in the post above. Care decisions and concepts for Americans will flow from physicians who actually understand healthcare to administrators who "did considerable work debating" it.