Since Jan 16, 2012

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A cost effective universal healthcare should have these features:
1. 100% private health insurance, not run by government.
2. Ability to buy insurance out of state.
3. No mandate to buy government defined insurance coverage
if you are male no need for mammogram or pap smear coverage.
4. Catastrophic only health insurance available,
especially for younger folks, which is much cheaper.
5. Limits on mal-practice awards based on actual damage.
6. Availability of prescription drug insurance through a group policy.
7. Portability of health insurance when changing jobs.
8. Tax deductible Health savings accounts contributed by employer.
So you are in charge, not the insurance company or government.

Note that Obamacare expressly forbids majority of above items.

Without a universal healthcare, sick people wait too long to get tested and be treated early, and then the disease gets more advanced, costing much more to treat on an emergency basis.

I went through an emergency cholecystectomy surgery after suffering unimaginable pain episode. I will not tolerate any American citizen to be denied the same access I had to the nearest hospital, simply because he/she can not afford good health insurance like I had. Some form of free market, capitalist structured universal healthcare is a necessity for every American citizen. I am AGAINST any single payer healthcare. Just look at the fraud and cost of Medicare, which is a single payer system for people over age 65.

Arrived from India at age 20 as graduate student for master's degree in engineering. I paid my own way through college by working in a hospital cafeteria washing utensils, some help from parents and acquiring foreign student merit scholarship after results of 1st semester. In those days (early 1960's) foreign students were allowed to work in field of study for 18 months after graduation. I was hired by Link-Belt Co. in Chicago to introduce computers in engineering computations and they sponsored me for permanent visa after my 18 months were up. I am still here after 56 years and proud to be a naturalized American citizen. Married to a born and raised in USA woman, and both my kids were born after I became a citizen. Both eligible to run! One of them is finishing law degree and wants to work as a prosecutor after graduation. Other one is working in cancer research.