[Dennis Kalma]

No issue with the single payer system as used in Canada, I think it makes the most sense, the issue I have is that there is no means to make the system more efficient, one vehicle being the addition of some market signals to optimize and second, if I have the money and want my hip replaced RIGHT NOW...why shouldn't I be allowed to use my own personal resources to get something which I want?

If it were up to me, I would use a single payer system with private provisioning of services being done in competition with a public sector provision....both would have to meet the same standards, both must be universal (cannot turn anyone away) and so forth....why not?