What makes government big, ironically enough, is privatization.

Every time the government enters into a contract or issues a check with a private company, some bureaucrat in the government has to check contract compliance and approve of the check. Those are just a couple of costs associated with privatization of government programs like Medicare and schools.

These programs do not make products and services like medical care cheaper. Medicare delivers medical care at lower administrative cost than any insurance company ever.

The voucher idea is a scam.

All Americans should enjoy a simple single payer option that requires insurance companies to be nonprofit and allows patients a direct relationship with their doctors. The role of the insurance company should be minimal.

Vouchers will be an extremely difficult and expensive program to administer. Many elderly people will get lost in the shuffle.

Vouchers will just result in another Republican mess and lousy health care for American seniors.

If you take a minute (okay, several minutes) to read the article, it's laid out pretty clearly.

You get a choice between having your bills paid (Medicare, the single payer model) or you
can get a voucher that gives you a "discount" on paying an insurance company. But the
insurance company doesn't actually provide you a service, they just get a piece of the action.
To borrow a phrase from an old (original) Star Trek episode.

Do you work for an insurance company?

And I wasn't asking about me, since i don't support it.

It's the best article on the topic I've read. When you lay it all out and follow
the money trail, it just looks like such a no-brainer.