The insurance industry plays a major role in the American health care system and absorbs a significant portion of the health care dollar. A single payer system, whether it is a private company or the U. S. government, would eliminate the complex insurance paperwork burden and free substantial funds that could be diverted to support care for the under-served. In ACA debates, a “public option” was defeated by lobbyists. Identify and discuss briefly with examples some reasons why resistance to a single-payer concept, used in every other developed country, has continued in the U. S.