The problem in trying to implement a full coverage system in the U.S. is trying to make sure that everyone gets their piece of profit along the way – the pharmaceuticals, the insurance companies, the care providers and their administrators, the equipment providers, etc. These things don’t only screw up healthcare policy, they screw up healthcare costs – higher and higher each year.As argued correctly by Wolf, the only plan that our ruling class of capitalists can come up with are plans that bring profits to themselves. In other words, the only way their governments are going to spend money on working people is if they can profit by it. That phenomenon illustrates the very essence of capitalist class rule. The Affordable Care Act is a boon for insurance companies, however other capitalists don't want their taxes to fund anything that doesn't benefit them. That is why there is a split among our masters over this issue.
Medicare administration is consistently under 10%, and the “paperwork” would be radically reduced if it was one system. This is far better than the costs of insurance companies.
Even Medicare under their rule is weakened as much as possible. I have learned from my experience that they will deny payments for medical services whenever they can find an excuse for doing so. Thus, it follows that the only way for working people to get adequate health insurance coverage is by revolutionary actions that ends the self-serving rule of capitalists and creates a system that serves all of the people.