Ah bfsaltwater, easy m'friend. My comments are directed generally, not personally. And yes, my redneck friends call me a screaming liberal, but my leftist friends call me a gun-totin', cigar smokin' redneck at the same time . . . so much for labels.
And I don't categorically trust ANY government, American or otherwise. I do think some things are inherently people's rights and not to be privatized for profit (including health care, environmental protection, and, yes reasonalbe welfare for those that need it). This is the right and just use of government, and the wrong and disastrous use of private industry.
I haven't seen much evidence of the tiered health care system you decry. Actually, from the foreign nationals I know (and I'm married to one) I've seen just the opposite. Also, AARP, Newseek, and a number of national periodicals and organizations have printed many articles recently about Americans increasingly traveling overseas for medical procedures (major and minor) including those folks with comprehensive U.S. health care plans that don't pay for overseas care. They report that they go for two reasons, 1) cost (even the comprehensive plans have deductables, limits, and co-pays) and, 2) quality of health care (equipment, well prepared doctors, facilities, and health care staff). Even HMO's are starting to offer a split package that includes payment (at a lower rate) for overseas health care. If our medical system is so good, why are the insurance companies offering such a deal?
As for spending my tax dollars, let me pay for adequate, government backed, base-line health care for all citizens over funding the killing of innocent people and American GIs around the world anyday (but as you noted, I'm probably a screaming liberal on that point).
I can tell we'd have a spirited conversation over a couple of beers sometime (and I love robust discussion - keeps the mind allive).