I didn't downvote you, but I'd like to reply to why this might be a leap in the right direction. 1) Universal insurance increases the fluidity in the labor mar

I didn't downvote you, but I'd like to reply to why this might be a leap in the right direction. 1) Universal insurance increases the fluidity in the labor market because people are no longer forced to stay in a job to have health insurance. This can be the difference between someone starting their own small business and sticking with a large corporation for the benefits. 2) Providing access to health care for the (currently) uninsured means they can manage their conditions and prevent them from deteriorating, instead of going through a costly cycle of ER visit -> stabilization -> ER visit. Because hospitals are obligated to stabilize anyone who goes to the ER, these procedures increase hospital operating expenses which is passed on either to (1) the tax payer or (2) insured patients. The best care both health and fiscal-wise is preventative care. 3) Obamacare was a leap in the right direction, but definitely did not go all the way. A portion of that may be that it simply takes time to adjust to a new system, but as parts of the old system are rolled back, it becomes increasingly less effective. For example, universal coverage without the individual mandate is costly for insurance companies, resulting in higher premiums. 4) People make poor decisions and forgo medical insurance only to have a medical disaster happen and land them in considerable debt. The affects of this debt continue to plague them for years after. Carrying crippling debt affects not only these people but any of their dependents, so the effects compound. The usual response is that the responsible shouldn't have to pay for the irresponsibles' poor choices, but you'll pay for them either way, just in one case it's easy to quantify the effect and in the other case the effect is nebulous are hard to pin down exactly. For example, studies have shown that acute poverty has an effect on intelligence. The more people that run around stressed by their debt, the less likely they're going to make smart choices going forward with respect to their finances, politics, etc. Assuming you believe that Obamacare was a leap in the right direction, you have to recognize that it did not go far enough or reach a stable enough point to where the benefits may have been fully realized. Even if you agree that a single payer system or a European style system is better, you are still forced to tackle the transition period during which responsibilities and policies have to reshuffle between hospitals, the government, and insurance companies. That is going to be messy any which way you cut it, but the current system is clearly broken, so it might be better to rip the bandaid off. Aside from that, the benefits wouldn't primarily be in the amount your premiums are, but in the indirect benefits of having accessible health care for all.