Who takes less in a move to a single payer system ? Who decides what services are NOT available because they aren’t in budget ? Who in government decides who DOESN’T get care and when ? What happens when a new Sec of HHS doesn’t like it and tries to dismantle it ? All the other countries that have universal care implemented it when healthcare was built around people more than technology. Now they struggle to determine what they offer and how We have to recognize the current system will be difficult to transition. We may have to create a hybrid system(Mark Cuban)