[DrC]

“All the organizers were shot.”

Given that Donald Berwick, the new head of Medicare/Medicaid is a fervent advocate of single payer, this seems an unlikely outcome.
http://www.realclearpolitics.com/articles/2010/05/26/why_donald_berwick_is_dangerous_to_your_health_105730.html

Quite the contrary, it wouldn’t suprise me at all to see Dr. Berwick openly encourage states to experiment with single payer reforms.

[ClearCase_guy]

I think the point of Solzhenitsyn's story is that the government doesn't care about a particular outcome -- collectivized farms? Single payer health care? Whatever. What the government wants is power and control. If a sub-unit were to go ahead and take action in advance of the government action, then that means that the government was not needed, and was not in control. The sub-unit (VT, a soviet district, whatever) was in control. That's not good. The government gets upset with that.

This isn't about health care. It's about control.

[AmishDude]

No. He won’t encourage this at all. The whole point of single-payer is to get you addicted and when the inevitable problems come in to play and hard decisions have to be made, nobody thinks of scrapping the system.

It is inevitable that this single-payer system will lead to an exodus, especially of those whose taxes are too high to pay for it.

The whole point is to trap you into the system.