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I’m not so sure...money talks....and I do believe there are other viable options. Look at Japan and Germany ghat still have private insurers with regulation. That could be the compromise that takes place in the end. I however, do support Medicare for all, but it is important we maintain what works while discarding what doesnt.
Japan is not the model we want to emulate. One of my co-interns (in another field) moved from Japan 3 weeks before intern year started a and we had a long conversation about their system. It's a complete nightmare.
Germany would potentially be something to shoot for, but the foundation of their current system has existed for 80+ years so they've literally had decades to figure it out. Not something the US could reasonably implement in the next 20 years.
If you're talking about a two-tier system, Australia is the most reasonable model for the US to try and adopt imo. Basically Medicare for all for basic services with separate wrap-around coverage for catastrophic care. Not an ideal system by any means, but one which could be passed here without destroying the current system.