Reply #79: I was not arguing for anybody's plan. I was drilling down to see where we'd get

[CTyankee]

in this discussion about what we DUers think we should do if we don't get single payer insurance with our next President. "Doing nothing" is your option. However, realistically speaking, we know people in this country want something better and we know that our health care system is close to catastrophe itself. We also know what we are up against with a powerful. Those are realities. We will have trade-offs. Your point about a new bureaucracy is one example of that kind of trade off. You should know that Medicare is one of those bureaucracies. If you are on Medicare and you opt out of Part B because you don't want the monthly cost of it to be deducted from the SS benefit check, you will have to pay for an alternate policy. If you don't, you will be assessed a higher monthly fee when you do join up. And European countries have a varying degree of bureaucracies that, by your own definition, would be inefficient (your 10% v. 90% example).