> Inefficiencies abound. We can do better, but there is not a simple solution to this. A single-payer system is the conceptually simple solution to this. We co

> Inefficiencies abound. We can do better, but there is not a simple solution to this. A single-payer system is the conceptually simple solution to this. We could get there either by expanding Medicare to cover everyone (M4A), or we could add a public option to the ACA that is priced and funded to outcompete the private options. In practice there would be enormous complications in managing the transition, but the evidence is that it would improve both costs and outcomes unless it is being sabotaged by an austerity-focused government (like the NHS in the UK).