And the elderly?  A well known statistic is the vast majority of us will use our collective cost in health care in the last 6 months of our lives.  What's to stop the private sector there?  You work and build your entire life to give it all to  Health costs (or the majority of it) to Private sector health organizations?   There are a lot of factors to consider here and from my perspective it effects those in the middle the most... and that's essentially where we all are at.