Historically, socialist governments have always been machines of mass murder. In a social democracy, the actuary's books will determine who lives or dies; it's the lowest common denominator of collectivism.
Bill Gates says as much:
We can either admit we've been suckered into a ponzi scheme; call it Social Security, call it insurance or call it the Federal Reserve fiat money system that's the model for all , or wait and see what it will turn into (as if we didn't know): the state managing every last resource and taxing you for breathing like every other socialist system that's ever been and is.
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