Mark, you are welcome to help anyone you like. Fund any clinic. Pay the premiums. Build Cost Plus. Nobody is stopping you, and nobody will in a free country. That is not what you are proposing. You are proposing that every working American be made to fund your idea whether they agree with it or not. Your choice of motivations is yours. It does not become a claim on anyone else's paycheck, and calling the claim help does not change what it is. Read your own post again. Every example in it is voluntary. The entrepreneur picks his reward. The worker picks his employer. The customer picks what to buy. Those people are all traders, owner and employee alike, and each arrangement stands because both sides said yes. But then you want a Treasury payroll deduction from everyone. A trade you cannot refuse is not a trade. It is the one thing in your entire post nobody chose. Capitalism is not an economic policy. It is the social system in which all property is privately owned and all human relationships are voluntary, which means it is the political form of freedom itself. The only thing it bans is the initiation of force. That is why the signal are the result of voluntary choices, as you say, and also why your plan is outside it. The moment you reach for the Treasury you have left capitalism, and no amount of good intention brings you back in. So the question is simple. Why do you believe it is right to confiscate one man's earnings against his consent to fund an idea you think is good? If the idea is good, people will invest in it voluntarily. You have raised money your whole life. You know what it means when nobody will write the check. Capitalism and Medicare for All are not two options on the same menu. One rests on consent and the other on force, and you cannot run both on the same patient. What we have now is the remnant of a free market in medicine, and the record since 1965 is not in dispute. Medicare projected at $9 billion, running $444 billion. Premiums doubled after the law that promised to cut them. Three quarters of insurer revenue already tax money. Prices climbed in exact step with the government's share, and you want the share to be all of it. Capitalism works for everyone who trades. What it refuses to do is give any man a right to another man's life, and that refusal is not its failure. It is the reason a free man can walk into a hospital in the first place.