As a libertarian/academic economist who came from a medical education family, I am forced to observe that most of the world has found it worth while to provide taxpayer-funded education and health services, and while the details differ, the delivery of these things in the United States is fantastically inefficient. Unfortunately, the recipient/consumers (being, the students and patients) tend to be the least heard, while the biggest influences in the process are (generally) price un-responsive, and instead are the largest purveryors/suppliers/suckers-at-the-teat.
"Our bad" as they say. It's not the fault of a single-payer system -- it's the fault of the United States for (as a collective) being witheringly stupid in execution. There is an entire planet of good practice available; Warren Buffet (no stranger to value, he) knows this.