I don’t know how you have reasons to doubt that single payer would be an improvement over our current system if it means 35-45k Americans would NOT die every year for lack of health care, and, 600k would NOT go into medical bankruptcy (along with the high numbers of homelessness created, as a result - it’s a leading cause) - along with the host of anxieties and fears that plague most Americans - I daresay, minimally, 65% who support single payer Medicare for all - because they no longer would have to live with these issues, that, I guess, you don’t - and as a minority of privileged.
The Medicare for ALL model is NOT “Medicaid for ALL.” As you point out, doctors and hospitals are not sufficiently reimbursed - and in many cases, it is health care in name only because people can either not find doctors within the system, or, not find doctors in time, or, the corruption in the system illegally excludes their coverage when they are legally entitled to coverage but unable to obtain the representation to fight for what is supposed to be theirs, and by law.
That being said, I in no way oppose Medicaid expansion - it saves lives. Make no mistake about this.
But, Medicare is a positive model, in part, because there ARE doctors and hospitals who ARE sufficiently reimbursed (compared to Medicaid, at least). It is also NOT contingent on a poverty model - meaning that you are flushing money down the drain (as in Medicaid) making people work the equivalent of a second job just keeping their Medicaid going because of the corruption and bureaucracy and 19th C Dickensian thinking built into the fabric of such a poverty model like system.
You wouldn’t believe (just for starters) the trees that are dying for Medicaid (if you don’t believe what people have to go through to maintain it - or if, when they can’t - it’s like the death penalty - the wheels kept turning for Troy Davis no matter what he tried to say or do. That’s the nature of the Wizard of Oz - the mysterious little man hiding behind the curtain - or, in the case of some states - their so-called “Health Care Authorities.”)
Bernie’s bill S1804 is NOT Medicaid for All. It doesn’t rise to the gold standard of HR676 - for example, it still maintains the Medicaid model for the elderly - which is abhorrent - but it is a huge step forward for the United States, including beyond a so-called overall Medicaid expansion by state.
Medicaid has monetary issues exactly because it is not a Medicare for all model, it maintains the bureaucratic poverty policing/19c Dickensian fake moralism and assessments/waste - and - also because it doesn’t reimburse doctors sufficiently. You get what you pay for - in more ways than one. Paying less often costs more. It’s unreal how much more people are willing to pay (especially in the GOP and corporate DP wing) in order to pay less to maintain some false sense of superiority and what boils down to, as, an apartheid medical system.
Apartheid is NOT medically or scientifically sound as a system.
You are quite wrong about Neil Young. He is a progressive and strong supporter of a Canadian style single payer Medicare for All model in the United States. It is one of the reasons he endorsed and supported Bernie Sanders for president. He lives in the United States NOT because he supports our health care system - he opposes our health care system. He lives in the United States because he’s wealthy and can afford to - including our health care system. As for William Shatner, I don’t know him as well - but he doesn’t live here BECAUSE of our health care - he lives here as virtually a U.S. actor who can afford to. Canadian and Australian conservatives SUPPORT their single payer health care systems. It’s not about “left/right.” It’s about plain common sense. The same is true of European conservatives on their single payer style health care systems.
We stand alone in the world in this insanity. It’s time for the private insurance cartels to GO. Way past time. They’ve outlived their business “life-cycle,” so to speak. No business is meant to live forever and their time has long come. We shouldn’t be artificially keeping them alive sucking on the proverbial teat of the Nanny State. We should be pulling the plug - and letting them go.
I agree that state single payer cannot as effectively cover costs and care as a national system. We need national single payer. However, it’s kind of like pot legalization. As it passes in one state, it will spread to others, with legislation ultimately at the federal level. So people should fight for, and support, state efforts to get it passed, however imperfect. We’re not talking about utopia - we never were. But we’re talking about a YUGE step forward for the United States - into the 21st Century where the rest of our allies already - and have long -resided.
There is no real debate that it works. This is like debating theory of evolution. There’s no debate. It’s fact.
As for eco-socialists - the Green Party is a party of eco-socialists. They support national single payer. It’s part of their party platform. And - they don’t take corporate monies - which is why they can be “good” on their pledge to go into elected office and represent this position without betraying voters - like the corporate Dems have.
I am all for puuurging pollutants, etc. I don’t see why these are competing issues. I don’t know any corporate free candidate who supports single payer Medicare for all and doesn’t support environmental issues, as well.
Nor does supporting single payer mean that you don’t take responsibility for your health. But our current system prevents people from doing so, entirely. People can’t get preventive health care exams - mammograms, colonoscopies, glaucoma tests, periodontal cleanings. This is taking responsibility - IF - you can afford it. Most people cannot.
It doesn’t sound like you have really experienced people close to you -or in your own life - having to struggle with getting dire medical care in the current medical system. The wide-spread suffering, the deaths of loved ones, co-workers, neighbors. This is not a game. I don’t know anyone who could NOT support single payer if they were truly familiar with the realities of the American health care system. It is grotesque, inhumane, murderous,utterly immoral - and catastrosphic. It is also a parasite on our free market system and economy. It is BAD for business - large and small. 3 US auto manufacturers released public statements that they would rather make cars in CANADA because of their excellent single payer health care system - it costs them, as employers LESS. And I don’t know any Canadians who would trade theirs for ours. Or Australians - or any other UHC nation - as in Europe, for example. They look at our society in terms of health care - and they rightly see TOTAL MADNESS.