system
A chat on subreddit /r/wallstreetbets
human
US has a more fundamental healthcare problems than who pays for it 1. Outcomes are worse than other developed nations, and 2. US pays more than 2x what Germany pays per year per person. Until that changes it doesn't matter how it's paid, it's too much to be competitive. It's bankrupting the country (governments, smaller businesses &amp; and citizens). 

Unfortunately healthcare is just the worst case of many industries in the US that are fat, dumb and happy. The general problem exists because the Federal government has become a money trough for many industries, and not the regulator and free market facilitator it should be. 

This is true because politicians serve those that serve them. In other words, global corporations and their industry organizations donate (bribe) the two political parties with direct contributions and huge donations to PACs. In return the politicans do what the industries want them to do, including eliminating competition (free markets), allowing monopolistic practices, ..., and just plain giving them billions, directly, but largely Indirectly. 

Until this changes the 40+year decline US citizens have been in economically will continue.  Right now the trend is worsening, so there seems to be little hope. 

The glimmer of hope is the majority of people's general discontent. The rise of extremist politicians is one of many things that demonstrates this discontent. The problem is how this discontent is fractured and unorganized. An example of that are the voters voting for Trump and others for Bernie Sanders. Both voters have common discontent, but think different solutions are the answer. They must unite and negotiate a solution. But there are many forces and many, many billions of dollars working hard to prevent that. Big money will not jeopardize the federal gravy train.  

This is exactly what my username is about.
gpt
Holy shit, a well balanced reasonable answer? Am I not in WSB? Who are you sir?