The Limits of Single Payer

"A health care operating system that reflects the current operations of health care is doomed to fail," he says. "You're taking a broken model and replicating it and adding efficiencies on the margin." The origins of hospital healthcare insurance was they went to local communities, not just unions or doctors' groups. 'If you all contribute that, we'll provide all the services that we're allowed to provide,' one doctor suggests.