American industry has learned that the cost of healthcare should not be their responsibility but lacks the gonades to say that to the administration/congress.
The U.S. could provide single payer healthcare coverage for every American by simply expanding Medicare to cover everyone - including vision, dental, prescription drugs, and medical costs of worker's comp. The cost would likely not exceed the total amount our country is pouring into a mish mash of private and public initiatives that cover only part of our people and needs.
Medical professionals would continue as private practitioners and would receive payment through the most efficient public program ever devised here in the U.S. and Medicare's administrative fees are less than 2% while the current public and private plans spend fully 1/3 of their revenues on admin.
But that's too rational so we'll continue to muddle along letting medical costs escalate while the average worker's productivity grows, his/her income shrinks, and families resort to bankruptcy to pay for healthcare. Go figure.