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As a physician working in the Canadian system, I can’t pretend that universal insurance is without its flaws. It’s true that the implementation of our version of “Medicare for all” took decades and involved plenty of disarray, including doctors’ strikes. We have fraud and waste, just as you do but we also have healthier people for a fraction of the cost. Implement universal Medicare already, if only to stop the moralizing from north of the border.Here are two simple first steps toward universal health care coverage in the United States:

My guess is that consumers will rethink their fixation with such employer plans, and the cost of the added Medicare rolls will be at least partly defrayed by the addition of an estimated $250 billion of annual tax revenues.

David Brooks compiles a logical litany of the many likely problems with Medicare for all. However, those of us caught up in the bureaucratic, inconsistent and increasingly costly health insurance nightmare can’t help but be intrigued by the idealistic simplicity of the concept. Anything must be better than what we consistently go through. Previous image recognition CAD studies may not have considered PT and HP variables because they are inconsistently reported and/or unstructured in the EHR. Better standards for documenting the risk factors a clinician considers during diagnosis could allow more image recognition studies to incorporate multimodal predictor sets.

I don’t know who these Americans are who like what they have — I don’t hear that. I recently moved to a new city and now have to deal with a local insurance empire, whose motto seems to be “if it ain’t in our business plan, we won’t do it.

It has denied coverage for a cholesterol medication I was taking that had significantly reduced my cholesterol. How long will it take with a new physician, new blood work and possibly new specialists before I get back on it? Is that good health care? I think we are not seeing the forest for the trees.How depressing to read David Brooks churning out all the usual tropes about why the United States can’t possibly have universal health care like every other developed nation.He cites an analysis from the Mercatus Center, which relies heavily on financial support from the Koch brothers. He should look instead at the analysis by the Political Economy Research Institute at the University of Massachusetts Amherst.

I strongly urge everyone — especially David Brooks — to read the institute’s analysis, which concludes that universal health care is eminently achievable and would result in lower and sustainable long-term costs.In the near future Medicare for all will join the heap of other impossible dreams that came true: women’s suffrage, Social Security, Medicare, integration and gay marriage.All we need are bold leaders with imagination and a strong grass-roots movement to support them. They are on their way!Elizabeth R. RosenthalLarchmont, N.Y. The writer, a retired dermatologist, is on the board of Physicians for a National Health Program-NY Metro Chapter.