Medical doctor--If you are a medical doctor, you understand what an audit is.  The NHS system audited their cancer survival rate and found it did not compare well with the rest of Europe.  I chose to report on the UK, because almost every supporter of single payer holds it out as the model for us to follow.  As for access to oncologists here is a line from a story in The Guardian which noted that 50% of cancer patients experienced long waits for care, "Lives are being put at risk because more and more cancer patients are not being treated quickly enough by the NHS as hospitals struggle to cope with demand, experts are warning."  If you prefer facts, versus propaganda, I suggest you read the news, not sources that feed confirmation biased pablum.  One of the reasons we pay higher costs for drugs is that EU countries do not allow companies to recoup R&D costs, passing them on to us.  It is easier to negotiate a lower price if you knock off one of the biggest costs up front.