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I’d also add that there’s a powerful benefit to having something like Medicare as a right of citizenship: it builds social cohesion and avoids the stigma which is often attached to social programs. Some landlords go to great lengths to avoid section 8 tenants, for example, and that has a substantial negative cost to society.


> I’d also add that there’s a powerful benefit to having something like Medicare as a right of citizenship

While not attached to citizenship, there already is something built in. New immigrants to the US often have to have a financial sponsor (I did, on my K-1 fiance visa). That sponsor has to agree (and demonstrate ability) that in the event that the new immigrant claims public benefits in the first ten years of their residence in the US (Medicare, Social Security, etc.) that the government is entitled to recoup those benefit costs from the sponsor.




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