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> mixed public private medical systems etc.

As best I understand, having a single system with aspects of both extremes, has not brought out the advantages of either. We'd be better served by having a public system and a market that competes with it; except that nobody in good health would find the public system to be competitive, and that thus the public system would devolve into a public charity for the chronically ill/injured/etc.

> national service but with exemptions

That's all well and good, but exemptions become more difficult for a number of other things.

For instance, rural residents (a.k.a. "Red Tribe") generally prefer to be taxed less and receive less subsidized services overall in return; whereas many urban residents wish for a sort of Northern-European "nanny state" which provides every service imaginable in exchange for having negligible post-tax net income.

And here's another example which speaks more directly to geography. In rural areas there are (a) hostile and/or food-bearing wildlife, (b) large wooded areas devoid of humans (or, at least, demarcated with warnings that all humans within must wear high-visibility vests) and (c) an abundance of soft, bullet-absorbing ground. For this reason, rurals see firearms as a useful tool that can be handled safely enough to not cause injury to humans or damage to human property. (Unless, of course, one is an outlaw who intends to do so.) In urban areas, by contrast, there is scarcely any direction at all in which one can point a muzzle without "flagging" something valuable or someone; either directly, or on the ricochet from the hard materials that are common in urban areas, or even penetrating through a wooden wall/floor/ceiling of your apartment. It is no surprise, then, that many urbans see no purpose to civilian firearms ownership whatsoever; and would never see such a thing without entering a rural area; and would thus have no empathy or respect whatsoever for their rural neighbors who are so wary of firearms restrictions.



> mixed public private medical systems etc

Not a yank, have no knowledge of the US medical system.

In my own country the public system is single-payer with a user-pays "gap" in billing to disencentivise unnecessary treatments.

Private hospitals / providers exist in paralel with the public system.

> rural residents (a.k.a. "Red Tribe") generally prefer to be taxed less

Rural areas are very often net recipients of govt aid. There may be a dislike of govt spending in these parts but they still take the money.

> every service imaginable... negligible post-tax net income.

That's some fine hyperbole.


> For instance, rural residents (a.k.a. "Red Tribe") generally prefer to be taxed less and receive less subsidized services overall in return

This is rather more true in abstract/rhetorical terms rather than concrete terms, especially on the spending side.




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