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Permanente is just a fancy word for Permanent. As in; permanently without quality health care. As a child, my father's health-care (for lack of a better word) was through Kaiser. I've suffered from a medical condition from an early age through adulthood, and I can't tell you about the number of occasions I had to endure substandard medical care through Kaiser. Furthermore, for many years my mother suffered from acute abdominal pain. Throughout the years, the doctors performed different tests, and concluded that it was gastritis. Finally, after a few years, they decided to do exploratory surgery. When they examine my mothers stomach, they discovered that my mother had cancer throughout the organ, and that it was metastatic. My mother did not live very long after their discovery. She was in her early 50's.

I realize this is anecdotal, but my personal experience, and history reveals, that government has no business provided health-care to its citizens.