Single payer health insurance can’t be a reality without the political well of the people. The Vermont initiative is a good example on how the American political well can show failure, though the business case studies of the initiative support it. The premise of the administrative cost to run the single payer program can surpass the projected savings from launching this type of program. The irony steams from the ability of the american business model to turn failures into a successful opportunities. Apparently, even with more political well, the harm of establishing any social program to serve the poor is far out reaching.
“In reality, the Vermont plan was abandoned because of legitimate political considerations. Shumlin was first elected governor in 2010 promising a single-payer system. But in the 2014 election, his Republican opponent campaigned against single payer. Shumlin won the popular vote by a single-percentage-point margin, 46% to 45%, which sent the election to the Democratic-controlled House of Representatives; though the House reelected him easily in January, a clear public mandate for his health care agenda was nowhere in evidence.”
McDonough JE. The demise of Vermont’s single-payer plan. N Engl J Med. 2015;372(17):1584-5.