[pyuser583]

I mean concierge policies are fine, but for what?

Not for core health care competencies. That wouldn’t be universal coverage.

When I say “quality would go down” in talking about actual health care.

Having a system where you have to pay extra to have a good doctor sound suspiciously like the current system, except it’s usually your employer paying extra.

[alistairSH]

Define "worse", I guess. Health care outcomes in the US are demonstrably worse than our peer nations and at a much higher cost today.

Yes, as an upper-middle-class salaryman, my care is above average. If I don't like what Uncle Sam provides, I can buy additional coverage/care. No change for me.

For everybody with worse coverage and less income? They're already receiving worse care than most of Western Europe.

My personal point of reference: Scottish immigrant, with substatial family in Scotland, Ireland, and Australia. Both white collar and working class.