The only example we have in this country of single-payer anything is in military procurement. And get this: the Army spent several years and five billion dollars on new camouflage uniforms — and bought an urban pattern.
The Army, although no one should need any reminding, is fighting wars in the deserts of Iraq and the mountains of Afghanistan.
Now let’s us keep in mind that this is the best military we ever fielded — and procurement is still such a mess-up that it takes years to spend too much money buying the wrong effing shirts. The Pentagon isn’t evil or stupid; it’s just government.
So — think your insurance company is bad? Wait until it has all the same incentives as the Pentagon.