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NetHorse, what happens when you are unable to pay or want to retire?
Do you rely on Medicare?
If you can afford the US system and don't get any problems they won't cover, it's fine so long as you pay the amounts the insurance companies demand. When you stop paying through a long illness, retirement, loss of employment or simply can't afford it. What happens then, does the insurance cover still apply because you've paid for it over the years?
Socialised medicine covers you because you've already paid for it.
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