And yet, even when the government is the payer, they have shown consistently that they are unwilling to enforce pricing control. For example, even though medica

And yet, even when the government is the payer, they have shown consistently that they are unwilling to enforce pricing control. For example, even though medicare billing rates for doctors where supposed to go down several times, in each case, threats of strikes by doctors with very public "look how evil the government is" posts by doctors have kept the rates inflated. Cost control isn't linked to single payer. Nor is efficiency. If you don't believe that, look at Germany. Not single payer, but incredibly efficient, and great at COVID19. On top of that, there are places where the government enables horrible behaviour and payments. For example, they negotiated a shitty deal on CPAP machines, and now everyone who does CPAP gets medicare rules, which is $300 a month lease for a machine that is sold commercially for $650. When I pushed back on my insurance company they said that this was medicare rules. Good governance is good governance. We don't have it, and single payer won't fix it any more then Obamacare and health rationing fixed it.