Some advocates of a publicly funded universal health care system have predicted that its creation is inevitable because of the “death spiral” of insurance costs. This term refers to the fact that as costs of insurance rise, fewer people can afford it, leading to a new round of rising premiums and out-of-pocket costs. If this cycle were allowed to continue indefinitely, it would be only a matter of time before the medical insurance industry priced its product out of existence.
In a rational world, this simple fact would lead Congress to do what every other industrialized nation has done; create a publicly funded system of universal health care either through a government-run system such as Medicare for All, or through a tightly regulated system of non-profit insurers that offer a defined benefit package specified by the government, as in Germany.
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