My suggestion is much less fascist/communist oriented. By socialized medicine, I mean fully socialized as in "the only option"... where medical establishments and corporations themselves are effectively govt run, not just regulated.
A state option for "insurance" that covers govt employees, but operates without a profit motive, while having the same negotiating standpoint of any general insurance provider is far different than what one would see in a fully socialized environment.
Edit: It's also from the PoV of continuing to offer coverage at all to those already covered by Federal spending, while avoiding increased costs. Basically better utilizing spend to expand competition, as opposed to limiting it.
Many countries have single payer healthcare systems and that has nothing to do with fascism or communism.
Healthcare is rife with asymmetric information by its nature. Doctors and nurses understand the medical services they offer much better than most patients. And privatizing insurance makes this worse. Now not only is the service itself opaque to patients but even the fees that they will need to pay for it.
But I also appreciate your point of view and it is good that PPO works decently well for you.
