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We need some sort of hybrid system. Much as the rightists want "no restraints" and "personal responsibility" to be our rule of law, this "you're on your own" system won't work in compassionate America. We just aren't going to let grandma eat cat food because she was careless in her financial planning, or let sick and injured Americans die because they couldn't afford insurance. Reaganomics is dead. It failed.
Miserably.