Not always necessarily true..... But I'll "play along"..... I'd venture to say the reason being is the available help from Social safety net programs......like the ones that " conservatives" want to eliminate.... We are decaying from within, and I'm glad you recognize that fact, not from covering the needs of the average American people.....but because we are covering the wants of the already wealthy people and Corporations...more tax breaks for them...loopholes so they can get away with not paying anything in some cases...... That's more costly to society than a relative few that waste their money on $200 shoes instead of something more practical.... There will always be some abuse in any system....but eliminating it for everyone for the misdeeds of a few isn't logical... Yes....just like I outlined above as an example.... I'm sure that's right in some cases.....just likes its just as probable that in some cases, people must choose between proper nutrition, or having enough to eat, or paying for Health Insurance...... We both knew better than that...... ( I know you just being sarcastic).... I said, it shouldn't control it....and yes its possible....but that prospect should be addressed in the form of laws against Government bureaucrats being involved in deciding a persons medical needs..... Speaking of writing the check.....currently you have insurance companies writing the checks and they have say in what type of treatments they cover and how much (or how little) they will pay..... Some Insurance Company Bureaucrat shouldn't be involved in a persons medical care either..... I understand and share your concerns about that.... Which is why that concern needs to be addressed in any proposed change in the way healthcare is delivered..