"So, while the U. S. has a solid private system"

Our system is already half public in a piecework ad hoc way and has about 30% administrative costs. Our per capita annual cost is over $7,000, about twice Germany's. Our system can be improved and made more cost effective.

This is just a business excercise and an attempt to slow medicines long inflationary run-up. Single payer can cut administrative costs, a better tort system can cut malpractice costs, and the government providing malpractice insurance will end the gouging in that that we see in Missouri, where we got tort reform and malpractice rates continued to rise.