Many (most?) private employer based healthcare plans in the US don&#x27;t provide dental&#x2F;optical.  Those are each separate plans and premiums that you and&#x2F;or your employer must pay for.<p>Your point about doctors taking ~50% of the provincial budget seems exaggerated (please provide a reference to support it).  Even if healthcare takes 50% of the budget, it&#x27;s not all going to doctors, probably not even the majority of that.  There are a lot of expenses other than doctors in a health system (nurses, administrators, buildings, equipment, materials, etc, etc, etc).<p>In the US, the big &quot;single-payer&quot; system, Medicare, is far more cost efficient than private insurance:
<a href="http:&#x2F;&#x2F;healthaffairs.org&#x2F;blog&#x2F;2011&#x2F;09&#x2F;20&#x2F;medicare-is-more-efficient-than-private-insurance&#x2F;" rel="nofollow">http:&#x2F;&#x2F;healthaffairs.org&#x2F;blog&#x2F;2011&#x2F;09&#x2F;20&#x2F;medicare-is-more-ef...</a><p>And I can think of at least one good reason to prefer single-payer if you are a not-poor tech worker:  Job flexibility.  Since insurance comes from the govt instead of the employer, employees don&#x27;t jeopardize or destabilize their health coverage by switching employers or switching to being self employed.<p>Edit: wording