denel
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Socialism -- generally speaking -- is when the government owns the means of production.
A completely government health care system would mean the government employs all medical professionals, either dominate or owns the pharmaceutical companies, and manages down to the individual levels all aspects of medical and health maintenance. So yes, it would be socialism.
Social Security and Medicare are rights in the sense that I paid for those services throughout my productive yrs in the belief that when I am no longer a productive member of society because of old age, I will have some personal security until I die.
The US is a multi-party country. The Communist Party of the USA (CPUSA) is a legal entity. So are the Libertarian and many other. There are no laws that says there can be only two parties.
The US uses the 'first past the post' (FPTP) electoral process. FPTP tends to stabilize out to two dominant parties. FPTP places the burden of representation on the party itself, meaning, if the CPUSA want seats in Congress, it has to convince enough people to side with the party and vote commies into the Congress.
With proportional representation (PR), which is most of the world's goobermints, the law says if a party have X percentage of the people, X amount of seats will be allocated to that party in parliament. It is an arbitrary threshold as that X percentage varies from country to country.
FPTP is no more messy than PR. In many ways, FPTP is less messy than PR precisely because it is the people who must self allocate among their diverse political views. There are gradations of views in the Democratic and Republican parties. There are some Libertarians in both of the dominant parties. If one day there are enough Libertarians fed up with the dominant two, the US will see a three-party Congress. Or instead of the Libertarians, maybe it will be CPUSA-Democrats-Republicans. Or it may stabilize out to CPUSA-Libertarians or Libertarians-Republicans. If there are any messiness, it is ideological and outside of government. And that is a good thing.
Well to a layman, US is nothing more than a 2 party state at the end as the system is rigged to prevent a 3rd party emergence; which is not true democracy. Neither at local or federal level this should have shown up.