Virtually everything that the government does costs more than when the same thing is done in private industry - whether it is building housing, running prisons, collecting garbage, or innumerable other things. Why in the world would we imagine that health care would be the exception?
An inmate in a Florida prison wrote to agree with me on the availability of guns, saying that a 'criminal can and will get a stolen gun faster than you can get your car washed.' He also points out that many criminals prefer guns gotten illegally, since they will be harder to trace.
You don't send people to prison on the basis of what other people imagine, or on the basis of media sound bites like 'shooting an unarmed child,' when that 'child' was beating him bloody.
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