As it stands now - we all still pay for everyone's health care. Nobody in the state of Maine is denied services and they often use more expensive alternatives such as the emergency room to treat non-emergency situations. Right now there is huge overhead costs in running the private insurance system. Indeed there is a whole industry of workers who do the billing and paper work - not doctors - not their staff - not insurance people - billing people who are experts in handling all the intracies of the system. A single payer system would be more efficient. It is about making a system which is fair to all and which is affordable for all. Canada has nationized health care and it works rather well. We can afford it - but we need to revisit the tax structure and spending on the military.