Look at quality of life in europe compared to the US, I admit freely there are some major differences like racial composition helping to make it more efficient but europe has much better pay rates on average, a longer average life span by about 5 years for men and because of universal medicine they don't get unnecessary procedures or visits pushed for profit. Even now there medical systems are recoiling from the jabs while ours are mandating them. I've traveled by road up and down the eastern seaboard and can freely compare privately held sections of highway, public highways and those under public-private partnership and the public highways have the best design and quality because their design is focused exclusively on the common good and not receiving a toll or abetting their investors financial endeavors and they are required to be maintained by maintained by law no safety waivers are given to the public, private roads are always shit because the bare minimum is done to maintain the road while all planning is focused on driving traffic to take breaks at investor's businesses, the public-private roads have the hyper efficiencies design and construction of public roads but all used for the purpose of making you miserable and want to pull over into the shit tier state sponsored gas and food co-op. Most hospitals today are the public private partnership sort where you get the worst of both worlds because the corporate entity can wield the state as a crutch exclusively for it's own interests, the totally private hospitals of my youth though miserly were quite efficient mostly because of the human element, and the universal healthcare I've witnessed first hand in travels has been basically as simple as going to a doc in a box fast med joint but without paying more than 15 bucks and they actually prescribe you something and give you helpful advice. State options get a bad rep because we only hear about the worst examples from politicians being bribed by medical companies. The full state option would be better for the common man than public-private partnerships we have now if only a little and I freely admit that the old completely private system was really great but that died over 20 years ago and the closest affordable option for most today are brazen scams. Just like with the post office a truly public option doesn't preclude private enterprises from success.