{"id":883532,"date":"2026-10-15T19:56:10","date_gmt":"2026-10-15T19:56:10","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/883532\/"},"modified":"2026-10-15T19:56:10","modified_gmt":"2026-10-15T19:56:10","slug":"were-gonna-get-single-payer-health-care-good-and-hard","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/883532\/","title":{"rendered":"We\u2019re Gonna Get Single-Payer Health Care, Good and Hard"},"content":{"rendered":"<p><a class=\"image-link image2 is-viewable-img can-restack\" target=\"_blank\" href=\"https:\/\/substackcdn.com\/image\/fetch\/$s_!xwTy!,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7aa47fe-6566-409f-b102-61c70c85c68a_3000x1688.jpeg\" data-component-name=\"Image2ToDOM\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2026\/10\/https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/e7aa47fe-6566-409f-b102-61c70c85c68a_3000.jpeg\" width=\"1456\" height=\"819\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/e7aa47fe-6566-409f-b102-61c70c85c68a_3000x1688.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1504673,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https:\/\/www.thebulwark.com\/i\/220211790?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7aa47fe-6566-409f-b102-61c70c85c68a_3000x1688.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}\" class=\"sizing-normal\" alt=\"\"   fetchpriority=\"high\"\/><\/a>(Photo illustration by Sarah Rogers\/The Bulwark | Photos Getty, Shutterstock)<\/p>\n<p>Bonus: One of our recurring themes is Trump undermining the U.S.-led world financial order, which has been a big part of the Pax Americana. I keep warning about de-dollarization\u2014the possibility that the world will move away from using the U.S. dollar as its reserve currency.<\/p>\n<p>Well.<\/p>\n<p>Tucked away in the news yesterday was a report that Zambia is about to start allowing some sales of copper to be <a href=\"https:\/\/www.bloomberg.com\/news\/articles\/2026-10-14\/zambia-says-some-copper-sales-to-china-to-be-settled-in-renminbi\" rel=\"nofollow noopener\" target=\"_blank\">settled in renminbi<\/a>.<\/p>\n<p>I understand this does not sound exciting! It\u2019s just one small African country, just one commodity, and not even their entire trading volume. But copper is important. Also, there\u2019s this stray remark from the governor of the Zambian central bank, Denny Kalyalya:<\/p>\n<p>\u201cThat\u2019s the starting point,\u201d he said. \u201cWe also hope that new lending could also be denominated in renminbi. That would help a great deal.\u201d<\/p>\n<p>And it\u2019s not just Zambian copper:<\/p>\n<p>A growing list of African lenders are signing on to connect with China\u2019s Cross-Border Interbank Payment System, Beijing\u2019s yuan-based alternative to the SWIFT international payment system.<\/p>\n<p>Kenya has swapped Chinese debt from dollars into yuan. The conversion will save Kenya $215 million annually in debt service, with interest rates on the new yuan loans dropping to as low as 3%.<\/p>\n<p>Ethiopia is also converting a portion of its debt to China into renminbi. Central Bank Governor Eyob Tekalign said in an interview Wednesday that the process was ongoing, even as talks were concluded for the deal.<\/p>\n<p>If you remember <a href=\"https:\/\/www.thebulwark.com\/p\/banks-trump-china-and-cats-the-most-boring-story-ever-told-swift-mbridge-china-petrodollar-usd\" rel=\"nofollow noopener\" target=\"_blank\">The Most Boring Triad Ever<\/a> back in June, you will remember how freaked out I am about the United States\u2019 ability to pay its debts\u2014let alone to borrow more money\u2014if people around the world decide they don\u2019t need to conduct international trade in dollars anymore. Not good.<\/p>\n<p>This is how we see around corners. And it\u2019s why we\u2019re going to look up from the news today and talk about a freight train that\u2019s coming down the tracks, not in 2026, or even 2028, maybe. But soon.<\/p>\n<p>America is headed toward single-payer health care.<\/p>\n<p>You like the sound of that? Be careful what you wish for.<\/p>\n","protected":false},"excerpt":{"rendered":"(Photo illustration by Sarah Rogers\/The Bulwark | Photos Getty, Shutterstock) Bonus: One of our recurring themes is Trump&hellip;\n","protected":false},"author":2,"featured_media":883533,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[97,252,253],"class_list":["post-883532","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-health","tag-health-care","tag-healthcare"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/883532","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=883532"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/883532\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/883533"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=883532"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=883532"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=883532"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}