It has long been clear that private and for profit health insurers cannot and will not provide quality reliable health insurance for everyone. The best and lowest cost solution is the single payer government financed system actual delivery of health care in the hands of a mixture of private and public institutions.
That's been off the table because the Obama administration compromised before even starting the health care debate. Jeff Neffinger explains why that was the wrong strategy.
This is the best rational for single payer I have seen yet.