What should we do about healthcare in the United States? In the curent political bruhaha leading to the 2020 elections, the ideas are far apart and accross a wide spectrum of ideas. Not surprising considering the vitriol and random association with evidence based data that passes for health care reform debate.
Obama dramatically expanded access to coverage, reducing the rate of uninsured by half — a great start. The Affordable Care Act should have a public option and more generous subsidies to cover everyone, but it is a grievous mistake for any Democrat to walk away from a historic generational reform that has brought coverage without regard to preexisting conditions, free preventive health care and substance abuse treatment and mental health treatment to more than 20 million people. 
What about the current front runner on the Democratic side? “I understand the appeal of Medicare for All, but folks supporting it should be clear that it means getting rid of ObamaCare, and I’m not for that,” Biden said last month announcing his health care plan.
Perhaps the real answer might be found in Willie Sutton’s famous utterance:
There is data on projected results in the number of Americans who might be impacted by the various formats which Medicare For All might take.  There is also data on the DOLLAR AND SENSE of the various choices de jour available past/present/future.
You pays yer money and you takes yer choice in terms of access, quality of care and cost.
 McDonoiugh, Denis, “It doesn’t make sense for Democratic candidates to attack Obama’s record,” The Washington Post, 8 Aug 2019, www.washingtonpost.com/opinions/it-doesnt-make-sense-for-democratic-candidates-to-attack-obamas-record/2019/08/02/8d14c392-b53f-11e9-951e-de024209545d_story.html
 Campaign Video, Biden: We Have to Protect & Build on Obamacare | Joe Biden For President Published on Jul 15, 2019. www.youtube.com/watch?v=t_y0ElVR7Xs
 Little, Todd, “’Who Said He Robbed Banks “Because That’s Where the Money Is’”? CrossCheck Blog 26 Sep 2013
 Goldsmith, Jeff et al., “MEDICARE EXPANSION: A PRELIMINARY ANALYSIS OF HOSPITAL FINANCIAL IMPACTS, NAVIGANT, 20 Apr 2019, www.navigant.com/-/media/www/site/insights/healthcare/2019/medicare-expansion.pdf
 based on ” Resident population of the United States by sex and age as of July 1, 2017 (in millions),” STATISTICA, www.statista.com/statistics/241488/population-of-the-us-by-sex-and-age/
 Safire, William, “ON LANGUAGE; You Pays Yer Money,” New York Times 28 Feb 1988