It's rather ironic that we are discussing if the US government can afford something or not. The fact we are broke has never stopped spending in the past. Why not spend some of that money we didn't have in the first place and take care of our own citizenry?
America already has healthcare for the poor and elderly: Medicare and Medicaid. One of the big problems seems to be that people that qualify for medicare or medicaid are not enrolling. Instead of re-inventing healthcare, why not focus on encouraging those who qualify for assistance to enroll for assistance?
Well, as a scientifically inclined person I should point out that we have an excellent experimental possibility here.
Let's summarise the two positions;
1) Those who contend that the US system is fundamentally OK but just in need of some tweaks
2) Those who contend that it needs complete change with a nationalised insurance system.
Now, polling evidence tells us about the public perception of the issue. I agree that it is a rather fickle measure. How about some more empirical data?
Here's my proposal. The swine-flu pandemic is going to put severe strains on health systems throughout the world. Let's see how the US system compares with those of (say) Canada and the UK in its response to the situation.
There are some 'hard data' tests - number of deaths per x of population for example. There are also some 'softer' tests - public reaction in terms of threat, perception of risk etc.
The next 6-18 months should produce some very interesting data.......