Want a single-payer system? Sure, we all do – right? Free healthcare for everyone and we all live happily ever after.
One of the most basic reasons that single-payer will not work is that it’s controlled by government. I don’t need to point out the troubles that are staring the NHS and Canadian systems in the face to make this point (and therefore did not provide links – you can get them yourself if so inclined).
Instead, imagine why patients are scared of the VA. Put yourself in their place – having to be seen by government paid healthcare providers who do “only what’s in their job description” and nothing more. A friend of mine has yet to receive adequate care for his illnesses and has begun to utilize homeotherapy - he's sick and tired of being "treated like shit by dumbass docs". I’ve seen some awful events, terrible care, and a complete lack of responsibility for patients at the VA during my few rotations. All perpetrated because the government employee mentality sinks in and once caring people become clock-punchers.
Beyond that, think of the military heroes whose medical care is being taken care of by places such as Walter Reed and other embarrassments of governmental medical care. Having spent 2 months in an army base I can tell you that more often than not the patients, doctors, nurses, and techs were more than frustrated by the ridiculous administration set in place to hinder movement through the system. What’s even more outlandish are the wait times in order to even see a doctor – months. Would you want to wait months for care? Months to receive surgery?
You can already see the impact imparted upon the medical field by beaurocracy crazy pencil pushers (regardless of association). If you haven't read or seen the images of nurses waiting to clock in and out in order to avoid infringements I can tell you it's completely absurd - patient care suffers. JCAHO is another entity who seems hell bent on making ridiculous mandates in the name of "patient safety". Do you really think that a single-payer system wouldn't be frought with these forms of "suit abuse"?
Then consider that your choice of doctor will be limited. Your care, paid for by your hard work and budgeting, will be reduced to “equalize” the care between poor and “rich” alike. Now consider whether you still really want a single-payer system. What's more, have you ever had or knew someone who had an HMO medical plan? Right.
That's government healthcare, clearly not "the answer" as preached by idealists all over the US.
Personally I feel that I and my family should be able to get the care that we work for, pay for, and earn through responsible actions. I do not want to receive mediocrity in order to help those who are less fortunate, immature, drug-addicted, slothful, and polybabydadics be spoon-fed more than they already receive.