Setting all economics and politcs aside, the most gut wrenching part of this read for me was the image of a hospital whose patients never get organ transplants, but give organ transplants. That goes beyond one person getting treatment while another is denied. That's the denied person, in death, still giving. I dont know if single payer is the best system, or if a hybrid system or regulated private monopoly or some other weird approach is better. But this system that we have today isn't working.