Sanders health plan is 50-56 plans: for each state, territory. Lower efficiency and productivity

I guess you didnt know, but Sanders plan is NOT one singel national health plan.

http://www.medicareforall.org/pages/HR676_and_S915

Sanders S. 915 Companion bill: H.R. 1200 in House

50-56 plans: fifty state health insurance plans, plus possibly D.C. and each territory, for all citizens and lawful aliens

Lower efficiency and productivity:
Fifty or more administrative organizations in addition to the national administrative organization. Fifty sets of legislators involved plus the U.S. legislators

1 plan: one national health insurance plan for all residents

Highest efficiency and productivity:
One administration organization
Takes advantage of the existing Medicare administration already in place. Can be set up and needs to be set up to be isolated from the U.S. legislators day-to-day decision-making, influenced by the people instead of by corporate lobbyists.