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You could just as well accept that you are a brain in a vat, or adopt solipism, or nihilistic relativism.
But once we get past the Dippers indulging in their narcissistic solipism, it's quite clear that whether or not a particular system with a particular name of "Medicare" dies really doesn't matter to the vast majority of the public.
To pretend that all forms of nationalism are equivalent - that the nationalism of German Nazis and the nationalism of French resistance fighters were no different - is not only an idiotic solipism, it also collapses upon the first examination.