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Poor Americans get free medical, but the middle class American who pays for insurance often can't go to the doctor because the deductible is so high:
http://www.foxnews.com/opinion/2017/06/13/dr-siegel-even-with-insurance-patients-cant-always-afford-to-see-doctor.html

Yeah. Thats the problem with all centralized government facilities. They rob Peter to pay Paul. Welcome to the future...DECENTRALIZATION!