I've watched health care cost go up astronomically since the 50s/60s, when everything was handled in our doctor's office, then write them a check for $20 or $25 and go home. Now, just the paperwork makes my head spin. They've added layer after layer of companies involved in even the simplest procedures. That is what must come to an end, along with too much power and money going to insurance companies and major hospital chains.
This will be a very long fight because all those people profiting off health care will fight us at every step. If we can't stop it, as you say, average folks won't get health care and it will take an all out revolt or national strike to get it fixed.
I'm sure it would not work to force all those layers of companies to close up shop overnight, so a protracted transition period would be required. It seems to me that perhaps we should start with single-payer covering basic care for everyone, then gradually taking over the rest.
Like most things human, we've allowed this health care thing to get far too big and complex. 
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