Health care costs, and consequently health care insurance, have risen precisely because of national health care. Even collecting from every taxpaying person and caring for only those 65 and over, a nationalized system has burdened the care system beyond its means to pay. So it mandates its costs, telling health care providers what they will take for payment, and the remainder is taken up in rising costs that are paid by actual paying customers, usually through insurance, which then raises its rates. To maintain affordable rates and a customer base, they must adopt risk management, not paying for experimental treatments, dropping high risk customers and refusing people with pre-existing conditions. Private health care cannot co-exist with the predatory parasite of a national health plan unless it caters only to the wealthy and charges exorbitant rates, or if national care actually pays full market rates for care. But nobody would stand for that, if they knew the actual cost of national health. Millionaires will still be able to get private care from physicians they choose for themselves, and do so without having to tell the gatekeepers of the clinic whether they have a gun in the house and if it is kept loaded before they can be accepted as a patient. An efficient nationalized health care system will cut costs by cutting care. But it will only be people for whom the care they desire would be wasteful, so I’m sure that most of the caring, concerned national health care advocates will be fine with it.