So what you are saying there is no way of having decent healthcare system without putting the corrupt incompetent central government in charge of it. 
"By the way, shouldn't the goal of healthcare be to increase life expectancy"
Not if it isn't a good quality of life. Being stuck on the government plantation is not my idea of a quality life. Hell we could just put everyone on life support that would extend their lives. I have had enough of the central government what is good and what is bad for me. I will make those determinations myself something that might not be possible with single payer.

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