The cost of administration of the U.S. health care industry is the main reason we pay more than any other developed country and rank near or at the bottom for quality of care. Our system pays insurance companies to manage and perform as gatekeepers of care, which is a major burden to the system. Single payer would save most of this cost, but introduces a new gatekeeper, your federal government. I like to think I'm a libertarian who wants the government to leave me alone, but I have to admit, I love my Medicare Advantage plan.
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