I agree with a lot of what you are saying. I don't think that the government is good at running hospitals and I am sorry for your family's experiences with the VA. On the other hand, I look at the Israeli system and like the idea of spending about 50% of what we spend now, and getting better results. I would also note that prior to the ACA, some bozo who abused his freedom by not buying insurance then drunkenly wrecked his car would get emergency room treatment anywhere in the U.S., and those of us who had insurance ended up paying for that. I cannot imagine us going to a system where emergency rooms require proof of ability to pay, and I see the ACA as affirming a conservative principle that people should pay their own way when they can afford to do so, i.e. less freeloading. I don't mind being required to buy car insurance and am glad that if some maniac hits me in L.A. traffic, he will probably have some insurance. It also seems to me that maybe we can agree that capitalism can provide the optimum solution. Under the ACA, insurance companies can compete, as in Massachusetts and Israel. In contrast, Medicare has no competition, but gets better rates than insurance companies because of its size and bargaining power. Maybe if Medicare could become a public option for everyone and users could instead opt for private insurance, this would create an even more robust market. I think that ot would also help if hospitals were required to post their billing rates, success rates and other relevant data so that consumers could make more informed choices. Competition is a powerful tool to reduce costs. Here is the part where I need help -- the passages in the New Testament where the rich guy asks Jesus how to get to heaven and Jesus tells him to sell all of his possessions and give the money to the poor. Then Jesus says that it is easier for a camel to go through the eye of a needle than a rich man to enter heaven. Maybe I am dense, but it seems to me that Jesus was saying that helping poor people is pretty important. I think that means that letting poor children die from cancer and other curable ailments would be a lot worse sin than the sins that the Republicans seem obsessed with, such as premarital sex, abortion, same-sex marriage, drug addiction and welfare fraud. I would be grateful if you would explain to me (in as much detail as you are willing to provide) why this does not mean that we should be doing whatever we can to at least provide health care to all children whose parents cannot afford it on their own. It's not as though this is not working in lots of other countries (some better than others). What are we going to say to St. Peter if he asks us about this? My solution is straightforward -- get rid of all of the poor people -- every last one. Give them an opportunity to be productive and reduce benefits to exactly the poverty level for those who refuse to work. Reward those who work hard -- a family where both parents are working full time (or more) should make enough to be comfortable. It seems to me that if we can create a system where almost everyone works, then the extra productivity would benefit everyone and St. Peter would smile when we tell him how we got rid of poverty so that we could all go to heaven (or at least most of us, excluding, of course, Yankees and White Sox fans). Maybe I need to go see a priest or a minister, but I just don't understand how we can get out of helping poor people, especially children, until there are no more people (or at least children) who are poor.