If you think administrative waste is an issue with a single payer healthcare system, then imagine how much additional waste is created by having hospitals and clinics deal with multiple private insurers with their various plan coverages, exceptions, and deductibles.

There’s also the differing pre-approval requirements for the same procedure to be covered by different insurers, as well as appeal processes for denials.

Then there’s financing and collections for the people that have been treated without insurance. The hospitals and clinics still have to get reimbursed for their costs still, regardless of who’s paying.

While the public system may have its inefficiencies, a private system is rather inefficient and moderately expensive at the best of times.

Maybe there’s some kind of a wheel, like a metal wheel that could just glide across narrow metal surfaces that could follow a set path….