Correction.  Our system is working for most people.  The majority have private health insurance, according to the Kaiser Family Foundation.  We could fix what is borken, if there was a change in the political landscape of America.  However, Medicare for All is simply a continuation of the egotistical behavior of an individual who played a role, however minor it may have been, in giving us the president we have today.  He is playing people, just like he has all of his political life.  Even he says his plan has no chance of becoming law.  From 28-years in health care management and related roles, I know health systems outcomes.  Funding mechanisms are not the primary drivers of outcomes.  That is absurd.  Outcomes are the results of inputs.  Change lifestyles if you want to change outcomes.  Our system provides more care, diagnostic services and other artifacts of a robustly funded model.  Take away 40% of that money and we could look like Canada, if that is what you want.