My goal is to see that more Americans have access to health insurance. As I've said numerous times, I'd have preferred single-payer, but the obstructionists (Republicans, especially Tea Baggers, and libertarians, and those whose political preference is "I DOAN WANNA, I DOAN WANNA, I DOAN WANNA!!!!") made that impossible.
So, for the multitudinous time, the PPACA is the first step. You obstructionists can howl all you want, but even Donnie Trumpster is yammering about single-payer, so y'all need to start stocking up on jerky and moving off the grid.
You'll be sucking insurance industry cock for a long, long time before single payer ever happens. Count on it.
Nope.
Make sure you have your fingers firmly inserted in your ears. And again, it helps to chant something ("Single Payer"?) - loud if you can manage it.