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Bingo.
Anyone who wants a single-payer system should be required to be in an HMO for 20 years first.
The fight to get care is crazy, because bureaucrats up the food chain looked at stats and said "you don't need this care" (because it won't lower our risk stats). You're just a number - if the stats say this won't reduce your risk of dying, or reduce the likelihood of needing further care, welp, too bad.
I've been in 2 HMOs over the last 35 years... Same experience in both.
The "problem" in medicine is primarily insurance companies, and secondarily business management approaches that are inappropriate for medicine.
Get those people out of medicine first, or the problems will never go away, regardless of who's paying.
My fucking coworker got denied coverage to replace his heart monitor that his doctor requested because "he didn't have a stroke yet."
The fucking business school shitheads are making medical calls overriding doctors orders because money... Money money money. My coworkers life is meaningless, he's just "lost profit" to them.
This whole system makes me equal parts disgusted and enraged.