SDN Members don't see this ad. About the ads. Thats exactly why a single payer system wont work... or at the very least would bankrupt the country. With our obesity epidemic and very unhealthy lifestyles combined with the fact that once its free people will start to abuse the system, the only way to pay for this system would be to have a significant portions or people incomes taxed. We're already spending trillions of tax $$ to fix the economy (or pay CEOs bonuses), where are we gonna get the money to cover everyone? Preventative care isnt the end all be all, telling your 5'3 190lbs patient "your fat, eat more salad, exercise" isnt gonna do anything. We need lifestyle changes which is much much harder to achieve. If a single payor system was to be implemented doctors and the elderly would get screwed (somebody always gets screwed no matter what system). However, in countrys with a single payer system the costs of education are either free or heavily subsized. You can add these costs to the amount it would cost for single payer healthcare. Because as reimbursements drop, the competition lowers leading to high achievers move on to more lucrative endeavours and this results in a drop in quality and depending on how far the drop is and the lag between subsizing medical education, an even greater shortage of doctors.