What we have is a highly bureaucratic system: one in which the government controls financing for roughly half of U.S. health care; one in which personal choice and competition are rapidly declining; one in which the health-care costs are excessive. Additionally, federal officials are exercising detailed regulatory control over health plans, benefits and even the practice of medicine itself.

Despite President Obama’s insistence that Obamacare would not be a government “takeover” of health care, hardly any component of American health care today, courtesy of Obamacare, is insulated from federal regulation and control. Given the general direction of current policy, the trajectory is toward a single-payer system, not away from it.

Sen. Bernie Sanders, with the cosponsorship of sixteen Senate Democrats, has decided to give the current drift to a government monopoly a giant shove by introducing “The Medicare for All Act of 2017.” The bill would replace private health insurance, including employer-sponsored health insurance, with a new and expanded version of the traditional Medicare program.

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