> The reason the USA can't fathom going to single-payer system is because Americans are so unhealthy. > If your endgoal is single-payer healthcare in the USA.

> The reason the USA can't fathom going to single-payer system is because Americans are so unhealthy. > If your endgoal is single-payer healthcare in the USA. Step 1 is getting Americans healthy again and I think we have hit a roadblock. American's are unhealthy, yes, but the real problem with healthcare in the US is the cost of healthcare, first and foremost [1]. Single payer could at least negotiate prices down, but does not go far in enough IMO. I am pretty much a hardcore free market fundamentalist, but healthcare should have no space for profit motive. Obamacare was, for a lack of a better word, a joke. More or less, it was (publicly and privately) funded expansion of the current system. Case in point, in order to subsidize the higher healthcare cost for older Americans, Obamacare (stupidly) forced healthcare on younger people via the individual mandate, effectively shifting the premium costs to younger people in order to pay the healthcare costs of older, less healthy people. There were other dumb problems, too. Yes, it did save lives in the short term but did fuck-all for fixing the system - the main problem being (again) costs. [1] https://www.washingtonpost.com/opinions/fareed-zakaria-curbing-the-cost-of-health-care/2012/07/04/gJQAxkr7NW_story.html https://www.washingtonpost.com/opinions/fareed-zakaria-curbi...