Single authority in control.I don't specifically know the answer to that question.
However, the fact that you use the word assumed means that you think people are working off something other than knowledge of how the system works.
Can I ask if you are aware of place in Europe that don't have "single payer" ?
This, for example:
The Dutch really have it together on health care, they have a system that has been proposed as a model for the US to emulate. In stark contrast to many other European systems, it’s actually based entirely on private insurers, rather than a single-payer or entirely national system. Yet the Dutch system is universal, has far superior rates of satisfaction with quality of care and access, and still costs a fraction of what we pay for health care per capita in the US. How is this possible?
What is healthcare like in the Netherlands?
How many people in the Netherlands? Trying to compare that to the USA is foolish.
I wasn't comparing it. You asked me a question.
single payer doesn't work anywhere. Ask the Brits or Canadians. It sounds great, "free medical care for everyone, and the government pays all the bills" The problem is that the government has only one source of income---------------US, you and me. Do you want 65% of your income (no matter how much you make) going to the government? That's what they do in the wonderful Scandinavian countries that you keep ranting about.
Single payer, or single provider?