In the single payer systems, private doctors and hospitals deliver the services and government pays their bills for your services. We have a next-door neighbor, Canada, with a single payer system that works reasonably well. Medicare is a single payer system for the elderly and disabled and works well for them. Some well-run European systems like France and Norway are single payer, and their citizens are reasonably happy with the results. Single payer is not the only way to universal coverage. The Germans, Dutch and Swiss all have universal coverage using private insurance, whether through employers or individuals.