So where will the extra $16 trillion come from to pay for Sanders' plan?

[ehrnst]

101. Because they started 70 years ago, and expanded gradually as medicine did

and they didn't get to where they are in eight years, and they have much smaller, more urban concentrated populations - which make health care delivery easier and cheaper.

In the midwest, cities are laid out in grids. It's much easier to navigate, easier for fire and police to get to where they are going... but if you say, "We should do this in Boston! They could afford to do it in the midwest, why not here?"

Retrofitting an existing 70 year old system - inefficient as it may be - is far, far more expensive and complicated that building where there were few or no streets to begin with....

And the disruption during the changeover has to be addressed, and 8 years is not enough time to do that.

Gradual expansion of the ACA is much more like what Europe has been doing for nearly a century. That's what Hillary was proposing.