I've heard all the 'for and againsts' but what I want to know is how can anything be done without the funds. The popular idea is to steal from the rich and give to the poor and the middle class. The only problem is there aren't enough rich to carry us through the start-up much less maintaining of a national anything system. The initial cost and the cost to maintain any system will exceed anything we can imagine and considering how efficient government isn't this could ruin the best aspects of any system we currently have.

This America everyone should be able to see a doctor without the fear of bankruptcy. The young have to have a good start on life and the health of every child that is an American has to come first. Children of legal aliens should be included in this group as well, but; we can't afford to insure the world. The use of our medical facilities, by illegals, has brought alot to the brink of financial disaster. If we are going to make a move in the direction we have to control access to the facilities. They must be for those who pay , period.

Another problem we face is our countries need to better educate our young people. We have to find a way to get as many in college as possible to insure we are competitive with the rest of the world. This especially is true for China and India who are making education a major priority. There are too many bright young people in America that have little or no hope of college after high school. My generation needed a high school diploma and you were ready to work. Our young people need college to enter the work force anything less dooms them to a survival existence. At this level they would have very little hope for affording health care as it stands now.

People with a college degree make more money. They buy more goods and use more services because they have income and stability. They pay more taxes that keep our infrastructure on the new end of the scale versus the crumbling end. So much of our growth as a nation depends on new sources of income. People with better incomes buy better homes which stimulates growth in all construction related industries that employ millions of Americans. The benefits are huge and to get the minorities involved only helps them to realize they can do better and they don't have to settle for a life without dreams. We all win with well educated Americans.

This social issue is one we owe our elderly American neighbors. We have to make sure no elderly person goes without food or shelter, anything less is criminal. They need the healthcare they deserve. No loop holes, no promises just assurance that they don't have to live with pain. If they are not capable of caring for them selves they should be cared for. This should be done without government rationing or deciding who lives or dies. Our elderly deserve to finish their lives with dignity and not be made to feel they're a burden.

There should be help for families who choose to care for an elderly loved one. It should be easy for them to afford equipment and prescriptions. There should be clean and safe homes for elderly who can't stay with family or have no family. These homes should equipped to handle the elderly whose needs exceed what a family is capable of providing. They should be staffed with well paid professionals so their focus is on providing quality care not worrying about how will their families survive. We have to take care of our elderly so no one has to worry about what will happen to me when I can't help myself.

The first thing that needs to be done is to identify the problems and acknowledge they exist. In our case it would serve us well if everyone was on the same page. The solution to any problem will first have to be clearly defined by all parties and accepted as problems. It won't do any good if one group says there's no problem and the other says there is . Another issue is the name calling, this  includes references to socialism and  communism because they are a considered fighting words. Any program to work effectively would mean everyone has to work, no free rides. If a person doesn't choose to participate they must provide for themselves and we have to hold our ground. We can't give in to or make exceptions for those who have chosen to not participate.

We have some big problems on the horizon no mater what we choose it will require change and if that change produces results great if not we have to be flexible. I don't believe we can afford to just provide everything with out some return on our investment. The cost for any program that will include all Americans will be enormous so the effort will have to exceed any in existence. It will take a rethink on our country, its direction and potential. Any change on this scale will have to come with an understanding that there will be glitches. We have resist the temptation to point fingers and add blame. It's important to move in well calculated stages so we allow enough time for adjusting the system. There should be grandfather clauses to insure those in need can still stay on track with as little disruption as possible. We will never reach any of our objectives if there are lapses in coverage through the transition.

The key to any plan to cover these expensive issue must come from the hard work of those who don't have healthcare, tuition or retirement. They must provide sweat equity in to a national service program that will allow them to earn credits towards what they need and the additional manpower can go towards infastructure, border observers, hospitals, daycare, helping the elderly, and working in our national parks. These credits would be accepted as barter for healthcare, cover student loans and retirement. This would also ensure the money comes from services provided I'm not proposing a welfare system they don't work. I feel we need programs that unite Americans in a common cause to improve living standard of all Amricans.

We have to insist that to participate you must contribute your sweat to earn credits towards what you need. A medical student needing money for med school could repay from his own pocket or work in the healthcare system a weekend a month and two weeks a year. This would be similar to our National Guard and it also could be included into the system as well. Those who work in our National Guard could and should be used along our borders north and south. Others could work in retirement homes helping the elderly or working with state and local governments with construction projects. There are so many possibilities the opportunities for success are endless.