America is controlled by what economists call rent-seeking behaviour. Virtually everyone important has a revenue stream, and they don’t want anyone to take that revenue stream away. So pharma and insurance companies, who would have been damaged badly by single payer (they would have lost hundreds of billions) made sure that a plan to provide everyone with better health care for a third less than current costs was never even considered.
The most important game in America today is the contest for control of government, so that government can directly or indirectly give you money. Health care “reform” in which the government decided to force Americans to buy private health insurance or be fined is merely the latest (and most blatant) example. Virtually every industry, from finance to telecom to agriculture is involved in this game. It is in all their interests to make sure the game continues, but they do fight amongst each other for the spoils. (Source)
Who could have known?