If you had no profit motivation then there is no incentive to do the best and most efficient job. This is why government organizations are always extremely bloated, inefficient, and employees don't care about the service level. It's because a monopoly means you don't have to care about any of that anymore.

The insurance company profit motive only achieves them maximizing their profit margin at all times. Which is done by charging as much as possible and blocking services as much as possible so they don't have to pay.

Spoken like someone who's never had experience with a public healthcare system anywhere else in the world.

Yeah but from an operational POV you should factor in competition, efficiency, etc into overhead and profits. I don’t believe the state would be as concerned about keeping out bloat, so it would accrue a different kind of overhead.

Profits is not what makes healthcare expensive…

What do you think makes it expensive in the US then?

Certainly not the salaries to actual health professionals (doctors, nurses, techs, etc).

When you see a doctor for 10 minutes and get billed $400, the vast majority of that money goes all the layers who are extracting their slice of profit from it, only a small bit goes to the doctor.

Doc salaries account for 10-20% of national healthcare spending. The us hS one of the lowest per capita counts of doctors in the world and the most expensive education system for them. Single payer does not fix this.

The us has the most expensive drug approval process in the world making any drug that goes to market needing high prices to exist. Around 10% of NH spending here.SP does not fix this.

Hospitals receive large gov funding, regulatory protection that includes the inability to build or run new or for-profit hospitals, and with the constant moral hazard of running hospitals in the red and getting bailed out. Almost all hospitals are non-profit. About 40% of NH spending. SP makes this even worse by eliminating forever the risk of bankrupcy.