Yes, I believe competition can exist, but the time for competition is the 'market' setting the proper price for a procedure (in something like a dutch auction c

Yes, I believe competition can exist, but the time for competition is the 'market' setting the proper price for a procedure (in something like a dutch auction contract). A single payer system can (and should) still have competition. Not when someone in need of services is going to a doctor, but when the single "insurance plan" is deciding which local doctors to contract with at a given rate.