I’d like to think that Obamacare is the thin end of the wedge, the first step towards single-payer. There’s a great Vox article on how Vermont is attempting to put in s single-payer system at the state level and how this mirrors the means by which Canada went single-payer — Saskatchewan did it in 1947, the rest of the country followed suit by 1961.
The amount of administrative waste in our current system is startling (and I don’t how much, if at all, Obamacare reduces it):
Vermont’s case for single-payer health care can be summarized in one number: $82,975.
That’s the amount a 2011 study in the journal Health Affairs found the average American doctor spends on dealing with insurance companies. Across the border in Ontario, doctors spend about a quarter of that amount — $22,205 per physician — interacting with the province’s single-payer agency.