> 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

> 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.