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Nope. Obviously, pointing out the reality of the situation and asking to discuss possible ways to overcome the very real and very difficult barriers the capitalists have erected means you actually secretly agree that those barriers should be in place and therefore think we should do nothing instead.
I say this as a lefty AuDHDer: the amount of neurodivergent black-white thinking in leftist communities is extremely concerning. Kind of comes with the territory, probably, given that authoritarians want us dead, but it can create some serious infighting. It should not be controversial to acknowledge the fact that in our current climate, single payer is almost impossible thanks to the opposition from the capitalists.
Do not question comrade! That’s the liberal social media vibe. You have to carefully couch your statements or get burned down for asking.