Senator Dodd, please propose a non profit National Health Care Cooperative as the single payer system; one which American citizens and permanent residents may voluntarily join. Or they may choose a for profit health care plan or HMO. My second choice would be a government run single payer system. In the choice of government bureaucrats or corporate bureaucrats, with profits on the brain, I choose the government one. A doctor can practice as a capitalist, and so can hospitals, other medical practitioners, but they get paid by a single payer system. If some folk want a non single payer system, with higher premiums and profit driven corporate bureaucrats deciding whether a procedure is covered they are free to join one.
Would a single payer system constitute unfair competition? Yeah! Do I care? No. We have the government as single payer for law enforcement, fire departments, and sanitation services. Why not for health care.