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You can't. Health care provision especially. The economics are not those of ordinary transactions.

You can't separate the two. Take it from someone who lives in the home of for-profit medicine, and for-profit higher education.

If our experience with the GOP is anything to go by, you actually can campaign on a platform of "Go ahead -- you can dismantle my social democracy, provided only that people I don't like, look like, or pray like suffer and I get to watch." One-nation-but-you're-not-in-it Toryism.