Good post and I would agree with everything you say except for one thing. The Swiss and the German systems are not single payer – universal, but not single payer. It seems that universal and single payer are frequently interchanged, which they are not.
.Here’s a quick summary of world types:1. The Bismarck insurance model: Germany, Japan, Belgium, Switzerland, Latin America, part of U.S. The U.S. insurance model is for profit, the rest of the world is not for profit.2. The Beverage/British/Government model: Britain, Italy, Spain, Scandinavia, Hong Kong, the U.S. DVA system.3. The National Healthcare model with a mix of Government single-payer and private doctors and hospitals: Canada, Australia, Taiwan, South Korea, the U.S. Medicaid and Medicare systems.4. Out-Of-Pocket: Africa, India, China, South America, and the 45 million uninsured in the U.S..The U.S. has a hodgepodge of all four systems and clearly why it is in such an administrative mess.