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I think there are major challenges with M4A, mostly tied to the mammoth challenge of transitioning, both the technical mechanics and the politics. But the idea that we can't afford is frankly silly. We're ALREADY PAYING FOR IT. Literally.
2/ Fundamentally what you're talking about is having the Medicare system, which is basically an insurer, a single payer, take over the administration of payment for health care provision. Politically it's a big challenge because all the money we're now paying in ...
3/ premiums becomes "taxes." But in any economic sense, it's just directing the same money (and possibly less money) to a different place for a similar set of services.
