I don't know what the fuss is about in America over the Affordable Care Act, nicknamed Obamacare. This is not an endorsement, merely a genuine statement of ignorance. I do not know enough about its costs and implementation to make an informed judgment. However, since I have a lot more readers in the U.S., and even Russia, than in Australia, perhaps I should explain the Australian system of universal health insurance, which is a composite of public and private insurance. It wasn't planned that way; it simply grew as a result of rival political philosophies pulling in opposite directions, as well as financial restrictions. But it works reasonably well. (Of course, nothing works perfectly.)