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It is not really possible to negotiate to make a federally run health insurance better. It is by its very federal nature an unsustainable boondoggle. The only sustainable health insurance is a free market one.
Trying to make federally run health insurance sustainable would be like trying to make social security or Medicare sustainable. The Democrats are not going to negotiate away Social Security, or Medicare, or Obamacare. So, if the Republicans can't manage to get rid of Obamacare, it will remain, like all other federal social programs, until the country is so bankrupt that we will have to revert to a communistic system or have a revolution.
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