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Link to the actual source(why people link to a fucking picture of a tweet I'll never understand):

https://www.mercatus.org/bridge/commentary/medicare-all-plan-would-cost-federal-government-32-trillion

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In other words, it took the US government nearly 240 years to accumulate a debt of over 20 trillion dollars, and Sanders would see that more than double within a decade.

Socialism at its finest.