As has been discussed ad nauseum in this forum, single-payer, NIH-style care cannot work in the U.S. due to our medical liability and legal system. The only way any "free" NIH system can work is by massively rationing care. I agree with rationing of care, however in this country the hospitals/doctors would get sued if there is any bad outcome due to the rationing. We can't reform the liability system, because as has been stated numerous times, the trial lawyers make bank off of suing doctors and hospitals. They also write big checks to government, and are the ones who make the laws. To think they would cut off a huge source of revenue is to be delusional. The best option is private, patient/provider-run healthcare. We can have states decide how they want to handle the indigent or uninsurable patients. Is it a perfect system? Of course not, but no perfect system exists. The Republican plan does little to address any of the issues that are currently making our system implode.