methinks you are right. Even though I think much could be saved  by one entity bargaining prices of providers down as opposed to the continual contract shifting going on now, robbing Peter for Paul's benefit and round and round, let's be honest about that too: when prices are pushed down overall, people lose jobs or profits, which reduces tax money coming in to the gummint.

Less "make work" and more efficiency and no doubt better health outcomes, but a much smaller market $ wise.

Silliness to get across what I am saying: if doctors all made less money, just think of the effect on the golf and sports car businesses....

The "where are all the paperpushers going to go?" I think that is overblown. I think they would be hired by the providers to continually fight the government bureaucracy and there will be plenty of supplemental insurers to work for along with managed care Advantage type plans willing to see if they can profit off pools by covering more and taking the Medicare dollars and putting them in limited networks.

That's without talking about the huge new market of businesses created just to allow you to claim that new scooter the government insurance just approved via the bribe to their congressman, even though a walker would be better for you...am I am cynic: yes I am. The more I learn, the more I learn no system is perfect. But I know we can do a little bit better than what is going on now.