As long as people understand what they are getting with Single Payer so be it. Healthcare is an inflexible commodity with almost infinite demand. Therefore all countries use some method of rationing to control costs. In single payer the rationing approach is time as in waiting lists and restricted access to specialists. The QALY (Quality Adjusted Life Year) also comes into play. Baby Alfie might be the current poster for the QALY. Nothing is really free - if folks expect the current levels of access "for free" they are only fooling themselves. Choices have consequences.