Well i would assume this is a simile since the use of “as” and it’s comparing one thing to another :)
The <span>"Great Dismal Swamp" </span><span>is the name of an area in Virginia and North Carolina that is now a National Wildlife Refuge</span>
Higher taxes would be the correct answer since the money to pay for the health care must come from <em>someone</em> (aka the people, themselves).
