> If we cannot afford to pay for doctors, hospitals, and medications, how can we afford to pay for doctors, hospitals, medications, plus a bureaucracy to manage

> If we cannot afford to pay for doctors, hospitals, and medications, how can we afford to pay for doctors, hospitals, medications, plus a bureaucracy to manage all of it? The same we are doing it now. Do you think the insurance companies are not bureaucracies? A regulated monopoly is the most efficient form of bureaucracy, because of efficiencies of scale. Also, insurance companies still generate profits, profits that can directly go towards health care, instead of being used as an investment cushion or for god knows what. Also, having every single person under 1 health care umbrella is a systematic reduction in risk, which further lowers costs.