Nobody understands how this federal government and political failure will play out, however whatever occurs is most likely to form the health care debate in 2021 and beyond. Identifying how universal health coverage will be spent for has actually constantly been a difficulty. The ACA ducked the issue by building on the existing framework while leaving its injustices in place.We participate in magical thinking to have another person pay for it: our employers, insurance coverage business, or the "federal government." Bernie Sanders told 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 believed him.