Dr. Pepper,
“you’re advocating for the US Government, who failed miserably at the ACA, to be in charge of a single payer system. You need to explain why you think the same US Government could successfully run something of a much larger magnitude.”
So the US Government does not “run” the ACA. The ACA is a conglomeration of laws that primarily expanded eligibility for Medicaid, forbade insurance companies from denying coverage based on pre-existing conditions, and mandated individuals to have medical insurance coverage. You might be thinking of the disastrous rollout of the online individual insurance marketplaces. Agreed that was truly bad. The blame can be spread around (some states set up their own awful exchanges, others relied on the Federal Government’s), but it was a failure to coordinate resources, share knowledge, and test systems before going live. A slight limmud zechus is that these state and Federal agencies had not put something together like that before, whereas Medicare has been a humming beast for decades.
“I mentioned a few times that a single payer system will turn into a calamity the size of the public school disaster.”
Public schools are not a single payer entity. The majority of their governance comes from the local and state levels of government.
“All this while the teachers (some of them who have no business being around children but are protected by the powerful unions) are bringing in huge salaries.”
I’d hate to see what you consider a meager salary.
“With a single payer free health care for all, you’re going to have people who don’t take care of their (or their kids’) health, don’t follow doctors directions and end up costing the system billions of Dollars in unnecessary expenses while clogging up doctors’ offices, hospitals and emergency rooms.”
…
“As mentioned previously, Medicare works because it’s for a more responsible part of the population”
So blaming the citizenry for the sorry state of affairs may feel good (politicians used to not dare try it, but now they love to so long as they can tar their targets with the opposite political affiliation), but it’s just simply not true. Health care expenditures are higher for young children, then drop quite low through early adulthood (with higher expenses for childbearing women), and then increase along an exponential curve once you get older. Per HHS statistics, your superior responsible adults aged 65+ accrue an annual average of more than $11,000 per year, vs. near $3000 per year for the horrible no good rotten 18-44 age group (which even includes most of those childbearing women getting harassed into expensive hospital interventions).