I am more optimistic than you en.  I think Trump will seriously consider single payer because he is a businessman and understands a bit about how things work.  I cannot see any other solution to the long term health care requirement except single payer with mandate to control costs.  Throw in incentives to increase production of medical personnel and we could do well.  It makes sense and I trust that Trump, not being bought and sold by the rich, can seriously look at realistic solutions even though they are opposed by special interests.