I don’t think there will be single payer. Big Business wants out of the health care providing racket...it’s too hard on the bottom line. Big Health Insurance wants forced customers under the rule of law, which they now have. I look for employer provided insurance to become a thing of the past, and penalties for individuals who don’t buy insurance to increase to onerous levels so that they HAVE to buy insurance. It’s a tidy system.
It depends on whether big insurance can find a way to benefit from single payer.
The only thing that makes sense to me is basic coverage will be single payer.
Insurance companies will be able to provide “supplemental” coverage that fills in gaps, extends upper limits, and gives some appearance of choice