Barry, My Liege :
Our current health care system does not make sense. It will be a little better if the Supremes validate the current Affordable Care Act [ACA] system.
But even if the ACA program is upheld, the system will cost too much, deliver too little care and leave too much money in private insurance companies.
By moving to a single payer system, we can deliver better care to all citizens at a lower cost.
In a study of the Minnesota Health Care system, the Lewin Group forecasts that a single payer system will reduce total health care spending in the State by 8.8% as compared to a fully implemented ACA[http://growthandjustice.org/sites/2d9abd3a-10a9-47bf-ba1a-e315d55be04/uploads/LEWIN.Final_Report_FINAL_DRAFT.pdf].
The current and proposed ACA systems create market failures which leave significant numbers of people without health care.
Those market failures reduce our Economic National Security since sick people are unable to contribute economically and since the sick and uninsured are directed to the emergency system.
Your faithful servant,