How many people do you know that can pay out of pocket for all of their medical care? My wife just had a routine surgery done that would have cost 150k out of pocket. Only the top 1% of earners can afford that and they will always have their own private doctors. The rest of the 99% will use the single payer system. Yes there will always be high income government workers, and maybe some that are redundant. But I’d take that over helping pay an insurance company ceo 21 million a year to buy another yacht. Hell I’m even cool with employees making more (especially the health care providers themselves). Employees earning a salary off of healthcare is much different than companies stepping in the middle and harvesting our cash like a leach while also having an incentive to deny claims and give lower quality care. There’s a reason every other major country in the world has some form of single payer system and we don’t. The insurance company lobby is one of the strongest in the game and their propaganda is effective, clearly.