Spoke with my Blue Ridge neighbor the other day who owns and runs a company that puts doctors together with healthcare associations (like Wellstar or Children's healthcare) and insurance companies. His job is to find the best fit and he gets paid handsomely for it. He has come to the conclusion that single payer is maybe three years away, because the system is collapsing. He brought up Clowart Piven and he isn't even politically active. He said it was a term that has been going around in his universe lately.