The "individual mandate" wasn't some "socialist scheme", it was what the insurance industry demanded/lobbied before they'd agree to cover anyone who wanted a policy. The new law means they can't deny you because you have a pre-existing condition and they can't drop you because you actually use the service.
A single payer system could still make them a lot of money... who the hell do you think would bid on contracts to operate pieces of the single payer system?
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