Regardless of the humanitarian or communitarian motivations for pursuing a universal health care solution, there's a powerful economic argument. The absence of universal, single-payer healthcare creates enormous economic drag as workers give up job mobility to preserve coverage; as medical bankruptcies incur societal and economic costs; as employers spend inefficiently on insurance coverage rather than competing for the best workers on a level playing field.

Given that US consumers and employers spend more highly than in comparable countries — and to achieve worse outcomes in many cases — isn't it prudent to take the step that all of our "competition" has and move towards a universal, single-payer system?