[tptacek]

The people in those states do not want it, which is why state single payer referenda fail.

[paulryanrogers]

Romneycare and the ACA were a pretty big step in the single payer direction. Popular enough to overcome vetos and attempts to roll them back.

[tptacek]

I like the ACA. I think the Swiss system makes a lot of sense. Community rating, guaranteed issue, mandate, subsidy, then universal single payer at retirement, where costs are concentrated. It's a sane system. The problem isn't the system structure.

[rawgabbit]

What one thing would you change in the American system?

[tptacek]

I would drastically increase the number of residency slots Medicare funds.

[valval]

I would never have expected your answer to be “spend more of other people’s money”.

[bdangubic]

all of insurance and all of healthcare is "other people's money" :) it just depends where other people's money is going.

this is amazing thing to me as European living in the United States, people want Gov to spend money for education or healthcare or ... COMMUNISM!! but corporate subsidies and 984 trillion dollars to the department of offense - oh RIGHT ON - let me get another gig job to pay more to that :)