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We don't need Medicare for all

We need something better, but what?
Zero deductible, Zero copay?
Sliding copay based on income?

Medicare as it exists is a big help, but far from ideal. Otherwise, why do so many of us need additional coverage, like Medicare Supplemental or Medicare Advantage plans? And a lot of these still leave a big out-of-pocket.

And then, how to finance it?
First, a merciless crackdown on fraud.
Payroll tax?
Income tax?
Higher tax on obscene incomes?

Just rambling here.