The Preamble

The Preamble

Could the US Ever Switch to Single-Payer Health Care?

America’s health care system is a maze of profit and paperwork. Some believe one payer could simplify it all.

Rebecca Gibian's avatar
Rebecca Gibian
Nov 06, 2025
∙ Paid

It was a cool day in Ohio when Little John Cupp noticed that he had shortness of breath while pushing a shopping cart. During the fall months of 2021, more symptoms started popping up, including severe swelling in his feet and ankles and an inability to sleep unless he was sitting up. A doctor found the culprit: Cupp’s heart was struggling to pump blood.

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