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It’s so sad these elections are no longer about what policies each candidate promises to apply if elected but about attacking the other candidate.
'Twas always thus.
When we first got cable TV and access to US channels, I was shocked that US campaigns were almost entirely “my opponent is a crook, so vote for me” attack ads. At the time, Canadian politics was still biased towards making promises (that the politicians never kept).
That was 1981.
I’m in Canada, but much of the cost of adoption is the same.
The only significant difference I know of in the US is that some ahencies are for-profit, and medical costs aren’t covered by unicersal healthcare, so have to be added on.