Great topic, and one that certainly brings forth opinions! Not sure about unions driving manufacturing off shore- my understanding of Germany is that their trade balance is positive (for them) and they are much more unionized than we ever were... and their health care system, like about all of the rest of the industrialized world, is what we should hope to have here, but don't. While its true that universal, government health care can have waiting lists, lack of service and so forth, like in the UK, what isn't being said is that they also have to opportunity to purchase private insurance and care... but even those barely getting by have basic care, unlike here, where the ER's provide way too much care, super inefficiently and at great, unnecessary expense. Take away union's power, and the vacuum is filled by greedy CEO's, the 1 percenters, and the burgeoning wealth at the top, while the once middle class disappears. Better quit before I get into more trouble!