We are the only major country that does not guarantee health care.  Our system before the ACA was wildly expensive, millions did not have care, health outcomes were poor and people made excessive profit off of illness, disease and trauma.  We spend considerably more than any other country on health care as well.  The ACA at least reigned some of that in and millions have access. As a retired healthcare provider- Youbecha I want single payer because it works and is more efficient and has better incentive to promote actual health and control costs. So you made yet another declaration of your opinion without any rational or thought behind it.  You just don't want single payer but clearly don't know any details nor would you ever consider education, listening and risking changing your mind.  I am tired of your tightly held ignorance.  Off to swim practice.