Single payer ....we don't have to use the Soviet type that Republicans scare Americans with. Lots of countries have single payer --a mish-mosh of sorts of those systems could work for us. Since copying exact system from other countries appears to be un-American (for some reason WE have to invent our own things) using parts from other country systems would be ideal. The parts that work , that is. No doubt there are parts of systems that don't work .