LOL - your false binary choice nicely matches your screen name.

I am a Canadian who knows that the US spends 17% (and increasing) of GDP on Health Care while most advanced countries are in the 11-13% range. And this is from one of the highest GDPs per capita on the planet.

As my 90 year old father instantly understood when the bill was passed, and I quote: "they managed to combine the worst of both systems".

The entire system meets the definition of waste and inefficiency and forcing people to buy insurance makes it even more so.