So now that the American non-partisan Congressional Budget Office has concluded that Trump's American Health Care Act (Trumpcare) would leave 52 million people uninsured, as opposed to 28 million people under the affordable care act (Obamacare), and both plans involve Americans forking out for private health insurance, will the long-term effect of this be to lead to Americans finally thinking the unthinkable (or so it has been in the USA up to now) and nationalising their health service (what Americans refer to as a single-payer system). How else can you guarantee that no-one goes without health coverage?