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I think the health care money stays inside the country, so it doesn't add towards the nation's deficit. The national deficit is caused mostly by consumers buying foreign goods, i.e. imports. The government's deficit on the other hand, is caused mainly by the wars in Afghanistan and Irak I think. And now also by supporting the banks but that is a recent addition. And by financing these with loans instead of taxes.
The USA government's deficit is mainly caused by Ronald Reagan and the two Bushes. Bill Clinton succeeded in getting rid of the deficit of the first two and then Bush jr. created a new one. Now there is a crisis and two war heritages Obama has a much tougher time to get rid of the deficit.
And the USA public should change their spending habits. They should not spend money they don't have, and they should spend more inside the country. Of course the temptation to buy cheap Chinese goods is great. But buying American stuff will also strengthen the USA economy which is much needed. And the USA auto manufacturing really needs innovations to produce cheaper, more economic and sustainable cars. And in general there should be a much greater awareness of sustainability in the USA. IMHO this is the only way that can really recover the USA economy. But too many people prefer to keep their heads in the sand.
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