Oh how I wish I could say YES. Ideologically, I would love a single payor system. I want every American citizen have access to free or extremely affordable healthcare. However, here are my big concerns, although there are a lot of other little ones. FIRST, I believe a human truth is everyone does what they are rewarded for (just like a rat goes through a maze to find the food, babies cry because they know someone will hold them or feed them, Uber drivers are (typically) amazing because they are fired if they don't maintain near 5 star ratings, etc...) Many stories you hear from single-payor, government backed or run systems is that the quality is abysmal. This is likely because doctors and staff won't work past 5pm, they may not get paid much, and therefore our best and brightest won't want to be doctors, nurses and researchers. There must be clear, consequential measures for quality and that typically is only enforced with some level of choice and reward. SECOND, I need to do more research on this but scary enough healthcare is 20% of the US economy. If we effectively wipe out a large % of that, unemployment will go through the roof, GDP will plummet and I can't imagine the other macroeconomic implications. Our Hac system is a mess, but not an easy portion of our economy to pull the plug. THIRD, I know a few amazing professionals who work at the VA and I would be happy if they treated me. However, look at the bureaucracy that is the VA and all of the horrible cases you've heard about in the last few years. Think about the US effectively deciding to 50x the size of the VA. Do you think that would be good? No way. Scary thought. FINALLY, I want everyone to have access to free or single payor healthcare, but I don't think it is any more a right to have healthcare than it is to have the same food cart delivered to every house in America or the same blue Ford Focus in every driveway. (It was tough to find a good analogy here!). YOU SEE this is not an easy answer or it would be done.