Reply #33: Single payer is a great response to this problem

[customerserviceguy]

but it needs to be combined with market forces.

If you're smart enough, you can go to college. If you pick a bad school, you know you will be saddled with student loan debts that you won't be able to pay back, because you can't get a job as soon as someone sees where you went to school on your resume. If you pick an expensive school, you had better hope that it will look good on that job application, as well. Your best bet is to pick a school that you can afford with the gloss that it puts on your reputation, academically. In other words, look for the most bang for the buck.

I can envision a sliding scale, where everybody pays some sort of payment for services received, with efficient single-payer picking up the amount after the deductable has been satisfied. The minimum wage earner would have a low threshold of what she has to pay, whereas the well-paid CEO has a much larger amount that he has to pay out of his pocket before single-payer kicks in.

It's just simple arithmetic, it's not that difficult to administer.