Why Creating Single-Payer in U.S. Is So Hard

The Hillary Clinton campaign is taking some hard knocks from liberals over its maladroit attacks on Bernie Sanders’ single-payer proposal. In one sense, the knocks are well-deserved. Even if single-payer markedly lowers medical expenditures, proponents such as Larry Seidman estimate that a tax increase of at least 8 percent of GDP would likely be required to finance it. That’s a heavy political lift. It’s about as much as the entire federal income tax on individuals.

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