I don't think we will have a universal care system like they have in Canada or the UK (or many other outcries). Most likely we will have a system where the government runs a health insurance company of sorts (like existing medicare/medicaid) and anyone who wants in can get on it. I think they will make you pay if you have the money, if you don't you will get it for free and those who have their own existing health insurance will keep it. So ours will be universal in that anyone can get on it, but it won't force everyone to join it.
How we will pay for it is another whole question.
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