[Zygote]

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the whole Tommy Douglas argument that poor people should not be without care and that should not feel the disgrace of charity

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Do you have a source for this? I have never heard anyone argue for universal health care on the grounds that it protects the poor from the disgrace of asking for help. I find it hard to believe that anyone thinks that filling out a government application for something is more dignified then asking United Way (for example).

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Why does the government reject a two-tier system?

My only source is the tommy douglas movie i saw on cbc. He made the point about charity at some point i can't remember, and others ive argued with have brought this up to defend the monopoly system.