First, I'm sorry for mischaracterizing your statement.

Second, I agree that single-payer is the way to go. I think it has to be the government running it. For all the inefficiency, there just isn't anybody else big enough and disinterested enough to do it. Social Security seems to get along pretty well, the military isn't replicable by the private sector, etc.

It's true that all the government does is spend, but that's all they're supposed to do.