“Science has everything to say about what is possible. Science has nothing to say about what is permissible.”
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If you believe that health care is a public good to be guaranteed by the state, then a single-payer system is the next best alternative. Unfortunately, it is fiscally unsustainable without rationing.
Every two years the American politics industry fills the airwaves with the most virulent, scurrilous, wall-to-wall character assassination of nearly every political practitioner in the country - and then declares itself puzzled that America has lost trust in its politicians.
The thing about science fiction is that it's totally wide open. But it's wide open in a conditional way.
While most of us know that we feel better after a good hearty laugh, science, in many cases, is yet to prove why.