[polygotdomain]

> Fixing healthcare costs will require a lot of people losing their job, and that wont be popular.

Agreed, but I also don't think it _has_ to be this way. First and foremost, a switch to single payer would mean that a lot of the infrastructure that's currently in medical insurance industry would need to shift towards being government employees. While there'd be massive administrative savings with single payer, there wouldn't be zero administration at all.

I'd also posture that the US would never go full single payer, and that there'd be supplemental plans similar to the German model (and Medicare, to be fair), so while private insurers would still exist, the administrative burden would significantly lower.

In the end, you'd still end up with a lot of people losing their job, but it wouldn't be a complete wipe out of the industry. Certain areas would get hit harder than others with the insurance brokers likely getting cut out big time.

> In truth I think about 20% of US workers are involved with the healthcare industry and the surrounding insurance and other supporting industries

That seems pretty high to me. I wonder what made you come up with those numbers.