Nobody knows how this federal government and political failure will play out, however whatever takes place is most likely to form the healthcare debate in 2021 and beyond. Figuring out how universal health protection will be spent for has actually constantly been a challenge. The ACA ducked the issue by developing on the existing structure while leaving its inequities in place.We participate in wonderful thinking to have somebody else pay for it: our employers, insurer, or the "government." Bernie Sanders informed us that we would pay more in taxes but less in premiums and out-of-pocket expenses, and for that reason we would come out ahead in the end. Nobody thought him.