As a non-USA HN'er, I'm not sure I agree with this as a perfect example of the case against a national health insurance system. I'm not sure any democratic country with a population of over 300 million people could smoothly implement such an enormous project without some teething problems. And 20 years from now, when your grandkids don't have to worry about health insurance, the world isn't laughing at your health system, and everyone has forgotten how some menus didn't work on a website that went over budget, I bet you'll be thankful someone finally did try to implement something big.