To be fair, single payer healthcare systems are a mess... A relic of 1940s Era economic thought. No one serious about designing national health systems even con

To be fair, single payer healthcare systems are a mess... A relic of 1940s Era economic thought. No one serious about designing national health systems even considers them anymore. The waiting lists, under and over staffing, wage setting and budget impossibilities make it impossible. Canada has been convening one health council after another for 20 years to try and fix their system, and every one says they have to go mixed. But politics of identity make that hard. I guess it must be the same for Bernie... Hard to reject your roots. The most successful universal coverage systems are mixed models, like France and Germany. Make the private system compete with a public system (and vice versa). The details of how that works depend on what part of the outcome you want to target: best costs, best patient outcomes, etc...