> don't see the state (especially bloated California) doing better [than Kaiser Permanente]
In what sense? What do you like about KP: the doctors, nurses, etc.? The billing department? Single-payer would not take the staff away. It would get rid of large swathes of the billing department that are pure waste.
Not everyone has had your positive experience with KP. We switched away due to lack of availability of certain specialists.
Operational efficiency. I’d compare it to Amazon vs usps. I pay for Prime which is like paying for Kaiser insurance, Amazon’s fleet is an just extension of Prime membership to improve my experience as a shopper and completely under their control (I can get 3 deliveries in a day on Sunday). USPS is less innovative because they less incentives to “wow” me.
In what sense? What do you like about KP: the doctors, nurses, etc.? The billing department? Single-payer would not take the staff away. It would get rid of large swathes of the billing department that are pure waste.
Not everyone has had your positive experience with KP. We switched away due to lack of availability of certain specialists.