I agree with you that the insurance companies and admins that have no business being in medicine are the problem. We’ve all seen the statistic where if every doctor worked for free, it would only drop spending by 8%. So that begs the question - where does all of that money go outside of operating costs? Admin and insurance companies. Surely there is a way to divert that extra cash into a single-payer system, but the way Medicaid and the ACA was ran does not give me confidence.