> A Russian spent dollar probably gives more bang for the buck, but US military spending is still very high.
You of course didn't support that claim at all. Most US military spending goes to soldier-related costs. How do you propose to slash that given how dramatically higher the US median wage is compared to Russia? Other than of course to perhaps cut the number of US soldiers in half.
> The single-pay system can be made to work. Others make it work, and a lot cheaper
Of course it can work. It can't work with US costs what they are. You need to go tell US nurses they have to take a 1/3 pay cut, to match up with what nurses in France and Germany are making. Then you need to go tell radiologists that they have to take a 70% pay cut to match up with French radiologists. Then you have to go tell pharma they're getting a 2/3 cut. Then you have to tell average hospital workers they're getting a 20% pay cut. Then you have to close 1/3 of all hospitals. Then you have to substantially expand wait times to match eg Canada, aka rationing the care. Then you have to tell hospital admin they're getting a 50% cut in their budget. Then you have to fire 500,000 people that are employed directly or indirectly in the health insurance industry. Then you have to slash the payouts for all sorts of highway robbery prices in medtech / devices / supplies related to the healthcare industry, which will can hundreds of thousands of more employees. You have to successfully adjust all of that, lower the costs, then figure out how to create new economic growth with the cost savings to re-employ all those lost jobs, wages, taxes (all that lost income tax, which will shoot a hole in the side of social security & medicare/medicaid).
IE you have to find a trillion dollars in savings across dozens of economic segments. Which is another way of saying: a lot of people are going to lose a lot of jobs and income. It's an extraordinarily complicated and expensive problem to resolve without rattling the entire economy to its core.
Oh yeah, then you have to dramatically raise taxes on the US middle class (which pays very little in taxes vs most developed nations) to match up with what countries with single payer systems do; and explain to the middle class that they're going to be better off with socialized healthcare, and that the increased taxes will be off-set by the government healthcare vs the old private insurance approach. Then you also have to significantly raise taxes on the top 25%, which pay most of the taxes in the US.
No problem eh.