If you want to cut costs, you cut reimbursement (which in turn cuts quality and quantity of care). If you want everyone to have the best healthcare money can buy, it costs money. While a single payer system funded by taxing the producers more and more sounds good, it will likely just lead to a secondary private pay system for those who can afford it. For those who can't, they will just have to wait a long time for sub-standard service. And don't forget that with less money to go around, there will be less and less regulators such as JCAHO because at $1,000,000, administrators are already putting them on the chopping block. And rightfully so. Like unions, they have outlived thier usefulness and corrupted the healthcare system.