A commenter asks

. . . but don't I support paying for poor people to get medical care?

Sort of, yes, but it's complicated, and looks absolutely nothing like what Ezra wants, which is a system that covers 95% of Americans while perhaps 5% pay extra for private care. My idea about helping the poor get medical care is more about helping them enter the private system, not exit it. If I were in charge, the government share of healthcare would shrink, not rise--I'd provide more for some kids and poor workers, but a lot less for old people.

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Megan McArdle is a columnist at Bloomberg View and a former senior editor at The Atlantic. Her new book is The Up Side of Down.

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