The amount of wasteful overhead in the American "healthcare" system never fails to shock me. The last two companies I've worked for (one a self-insured non-profit, the current a "conventionally"-insured for-profit) have both, coincidentally, had ~500 employees, and each dedicated about one-and-a-half full-time positions to administering their healthcare plans. Now scale that up across every company in the country: it's... Insane.

Forget any of the squishy humanitarian impulses behind "socializing" medicine; eliminating all that un-productive labor would be of immense economic benefit.

(Health-plan administrative cost is a moat which advantages large businesses to the detriment of small. That goes some way to explaining why an economic-efficiency / dynamism argument has never gained traction in American political discourse.)