How The Government will reduce the cost of welfare by reducing paperwork?

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He says doctors are forced to make decisions based on insurance requirements. Do you want to switch that from private companies you can sue to the govenment who can take your home, car, and credit? The IRS is worse than the ATF. At one point, he claims the govenment will reduce costs by reducing paperwork. Is there anything about the US Government that has ever caused you to believe their involvement reduces paperwork?