Reply #44: He never even hinted at single-payer during the election

[customerserviceguy]

and he could have conveniently backed away from that if he had ("There are realities imposed on the situation by our current economic condition,...blah, blah, blah"), but he had no intention of going to single-payer. And he's not going to blow political capital to stand up for it now.

About all we can hope for is universal coverage. That, and efficiencies that come from mandating standardization of records, electronic records, etc. is all we're going to get for the foreseeable future.