Universal public insurance ensures every doctor gets paid, without chasing down patients, and every patient gets high standard care in the most economical way. It's why Canadian health outcomes are far better than the USA - longer life expectancies, lower infant mortality, lower rates of obesity, lower stress, no personal bankruptcies do to medical bills, lower prescription costs etc. Being able to focus on care through a public option, is a better way than private insurance's focus on maximizing profits. The Canadian system is more efficient.