"The purpose of the state is really freedom" Spinoza, TTP. So it is no surprise that as the state gets dismantled, our medical, gender etc freedoms are under attack. For Spinoza, a good government guaranteed security and safety, and the ability to collaborate for its citizens.
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By the people, for the people
That woke, delusional Lincoln
On the other hand, there has never been freedom in healthcare in the U$A
So, nothing to lose there...