[Tom2172]

Single payer only comes close to working with small non diverse populations. The US pooulitaion is very large at 400 million plus, very diverse and extremely politically divided into many groups that agree on very little. Both Canada, Great Britain have single payer it’s a bloated, inefficient bureaucracy where no one cares since there is no incentive to care. It’s the government no one can be fired. Without profit or competition there is no reason for single payer to be competitive, effective, efficient or responsive to the needs of patients. it’s the government they answer to know one!
The VA is close to single payer, it doesn’t work, it’s inefiecent, because that’s what a bureaucracy is. Patients have been locked up in VA clinics because at 4 PM all the employee bolt for the door because it’s closing time, there is no inceintive to stay or see every patient. So occasionally patients are locked up when they close the doors on the building at 4PM.