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Health insurance needs to be added in to the evaluation. Universal health insurance coverage increases the ability of people to take risk, esepcially when healthcare is as expensive as it is in the US. In other countries, people can quit jobs and try something new without the fear of having no healthcare coverage and the potential for bankruptcy through medical bills. Similarly, employers in the US resist hiring full-time permanent workers partially because of the massive cost of providing health insurance. Providing universal healthcare coverage not tied to employment and reducing total healthcare cost to less than 13% of GDP in the US would allow employees and employers to assume more risk while freeing up capital for use in building the economy.

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