I like single payer. I just wish we'd tried to implement it a lot sooner. In the late 1940s when Harry Truman made a big push for health care reform, for example, and Blue Cross/Blue Shield was the biggest health insurance provider by far. But the fact is, health insurance companies are an intrinsic part of the way we manage health care presently. We may not like it, but they will make sure they have a say about the future of healthcare delivery.