I think I have the only blog on the internets where health policy posts get more comments than Iraq and O'Hanlon bashing. Y'all are weird. But I'm going to indulge you. I went to a presentation this morning by Alan Enthoven, the godfather of managed competition, and came away with some of the slides from his Powerpoint. One section focused on single payer. I don't tend to talk much about the politics single payer, as in the short-term, I think it fairly unrealistic. If someone can explain the political path to writing a multibillion dollar industry out of existence and creating massive upheaval in 15 percent of the nation's jobs, I'm willing to hear them out, but until then... That said, there's no reason not to play around with the policy a bit. Enthoven offered what is, I think, the fair-minded skeptic's approach to the policy, and I figured I'd reproduce it here. So: