There is one simple way that would help to make sense of the health-care debate. When opponents of change claim, for example, that most Americans are satisfied with their care, the next question should be, “how about its cost?” Many people receive good care, but for those without adequate insurance, who lack work-related health benefits, aren’t poor enough for Medicaid or old enough for Medicare, it isn’t about the quality of care that’s available, it’s about the cost of obtaining it.

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