And that’s pretty much it:

Although government-dominated systems may not improve care, they will relieve anxiety about access, ease financial pressure, and assuage societal guilt. When something is “free, “ it diminishes the angst (and increases the demand). The trouble with government is that it’s too far removed from the clinical marketplace to make intelligent even relevant decisions, doesn’t realize the consequences of its actions, e.g. paying primary care doctors too little, thereby causing their exit from the physician population, and the costs, waiting lines, inefficiencies, and rationing, inevitable consequences of single payer systems in other countries.