Something that the single-payer supporters forget – many Americans don’t support it and single-payer initiatives have been regularly defeated on the ballots.

Many Americans are used to top-flight, “all-you-can-eat” health care. Whether they will support anything less is in question:

Many Americans do get the Mercedes-Benz of health care. But given the scarcity of resources, they may be doing so at the expense of many others. Ultimately, we will need to find a middle option — providing all Americans with the health care equivalent of a Prius, a vehicle that will take efficiently to where you need to go and is affordable enough that nobody will have to walk.

Whether Americans will get a Prius if single-payer goes through is debatable. Some think that they may get stuck with a Yugo.