The Texas state pledge

[Epsilon]

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When I say "choice", I'm talking about things like, say, smoking.

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In Canada we heavily heavily tax smoking. Like, on the order of a $4 pack of cigarettes having $8 of tax.
This money is spent towards things like Health Care.

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Beyond that, I still wouldn't want to see a universal health care system that was fully government-run, because past experiences don't suggest that they would do it particularly well.

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Aside from the fact that countries like Canada, Great Britain, France, Japan and Denmark having been doing so with great success for decades, you mean.
If you want to see how to do a health care system right look at the list I posted and investigate those health care systems.
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Epsilon