It is those without medical care and that cannot afford it that need medical care in the U.S.A. The best way to create a safety newt for those individuals is to expand the V,A, hospital system and unite it with the nation's homeless clinics to cover tens of millions of poor and veteran Americans directly. Elon Musk's hypertubes could be installed to links remote areas to hospitals. It is simply the most efficient system that the government and politicians generally cannot face up to.
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