I'm not sure if you read this thread but these topics have already been covered. First, the immigration problem between the US and Cuba is a one way street and it's not in the direction of Cuba. Cubans by the thousands literally risk their lives coming to America. A key foundation to one of our greatest cities, Miami, is based on Cuban expats. Keeping everything in proportion, I think if they kept getting a raw deal, they would stop coming. Americans spend more than anyone else on nearly everything, I don't see why healthcare is much different and why some things we spend so much money on is noble while others are considered otherwise. We spend what we spend. Earlier, I made the argument about food being more of a priority than healthcare and Nexxo made a great argument that it is affordable. But what about housing, why not socialize housing? Many people spend more on their homes than they ever spend on healthcare (be it private or state provided) and you can't live without shelter. I mentioned earlier that there is a role in certain things enumerated in our constitution that are the responsibilities of a democratic republic. National defense, third party arbitration between parties (justice - which includes the police) and negotiating foreign treaties. That's construct that was initially set up and has worked well for a majority of our country's history and only until elements began to be centralized, starting in the 1930's a reaction to the great depression did things start getting tainted. I don't really see what fire departments have to do with it, they could be private for all I care, just like EMS (Emergency Medical Services - Ambulances) but I don't see a problem with local communitees making it part of their local government. Again, that's what makes the federalist system so nice. Again, YOU can care for people a lot. It's taking money out of other people's pockets out of your concern at the end of a gun is where we part ways.