How would Obamacare be an improvement over a single-payer healthcare system?

[Hoyt]

14. Only one way, it's the best Congress would pass. So far, single payer here is just a pipe dream.

Not because it's bad, but because it's the only game for those who don't have health insurance otherwise.

I've supported single payer -- really Medicaid for all -- since about 1980, but disinformation is not going to move us forward. For example, most insurers make about 6% profit with 9% or so going to admin, billing, sales costs, funds for systems, funds for risk (including the risk from government changes), etc. The 20% you site is for small plans selling individual insurance. Most plans are limited to 15% including profits. Medicare for All isn't going to be a whole lot cheaper because some of that will be necessary.

Point is, if maintaining a part for insurance companies becomes a requirement to get everyone covered, I'll pay my share. I get it shouldn't be necessary. Bu if we are going to be purists, we'll still be sitting here with Obamacare -- or less if GOPers get their way -- 20 years from now.

I'm glad we have Obamacare until we can enact something better. A whole lot of people were saying the same when it was a vote or two from repeal.