In this video from April, 2010, before the Annihilation of Affordable Care Act (a.k.a. Health Fraud) was passed, Richard Epstein gave an exceptionally lucid explanation (in his usual rapid-fire manner) of just exactly why it will not and cannot work, and just a few of the ways in which the U.S. will be the worse for it. Here he is not arguing its morality–although morality does peek in around the door here and there–but rather the predictable practical results.
(He also mentions, briefly, what YrsTrly has said: People got used to Medicare and Medicaid, and now they feel they’re entitled to it, and also they do depend upon it; so it’s better left to wither away than yanked out from under us wholesale. –Well, to the extent that they’ve lost their own control of their lives, they’d like to know that they’re going to get what they were supposed to get in return. Of course, his audience mostly consists of students, who have no memory at all of Life Before Medicare, and probably feel as though it’s always existed. Like Mt. Rushmore.)
He also mentions the effectiveness of private charity, and alternative payment methods, and so on–before the government involved itself in running this aspect of our lives.
To my mind, this is one of his best, and one which sounds right to me.