Yes, Clinton rejected the so called "single payer" approach of Mc Dermott [sp?] even though he agreed with it. The "Harry and Louise" ad campaign was financed by smaller health insurance companies who would be put out of business by the Big Five.
Interestingly, only Kucinnich [sp?] said in Fla. "I am NOT an insurance salesman" (repeated three times).
I think where the Corporatist model breaks down is where it violates "Boundary Conditions." Implicit in it is participation of Americans who, at the end of the day, gain in a net sort of way.
"Offshoring" tends to undermine this "consent of the governed" sort of thing.
BTW, nothing says that ultimately the "Corporation" has to be in private hands...the Port Authority of New York and the Tribourough Bridge and Tunnel Authority, as well as the Tennesee Valley Authority come to mind, where the excesses implied in Corporate Outsourcing can be curbed POLITICALLY!