Obama faced friendly fire at his health care town hall, and so fared well telling the audience, what–is that all you got? He dispatched the teabag canards until he had seemingly exhausted the surrogate-public’s straw man objections.

The issue of a single payer system came up. Not from the mouth of an advocate, but framed by a critic, a Republican (“I don’t even know why I’m here.”), who wanted to confront the president about a his past public endorsement of a single payer remedy. Thus, he loaded the question with the assumption that such an naive suggestion must be repudiated.

The president did not denounce a single payer ideal, but instead explained his new moderate view: America wasn’t ready, the country would be destabilized by a sudden changeover to universal health care. Obama gave the example of someone accustomed to health coverage now having to deal with another office, and another set of paperwork.

Changing insurers happens all the time to individuals of course, who learn they’ve been dropped, or whose policies lapse, or who lose their jobs and with it their coverage. Of course that sudden shock is amplified by the uncertainty of finding another insurance policy at all. And then, the other shock when the new premium is three-fold increase.

Switching to a universal insurance plan would introduce no uncertainty, or sticker shock. But certainly the president is talking about the shock to the insurance industry.

Their jobs would be gone tomorrow.

The drawback to immediately trimming the 30% of medical expenses which go to insurance companies, is that those livelihoods will be shattered. The insurance companies are not just about the quarter-billion dollar a year CEOs. There are reps and adjusters and office staff behind the people who deny you disbursements for your health expenses. Not many of them are going to be needed by the expanded Medicare offices. So their jobs are gone.

And the insurance companies advertise on the major media outlets, and hire lobbyists, talking heads and teabag mobs. Universal Medicare isn’t going to need any of those to sway its public beneficiaries. Except to encourage preventive health and wellness.

Insurance companies finance political campaigns. No, our system couldn’t stand the shock of rocking that boat.

Most of all, I’m fairly certain America cannot afford universal health care because it cannot weather the shock of bringing the populace to better health. America has been killing its citizens with far too systematic efficiency to make an about turn. The American public is too far gone down the path of cancer, obesity, diabetes, and neuro-pathological disorder to be turned back affordably. A boat floats on its own with very little effort, but one half-sunk requires almost endless human resources.

In addition to lost insurance jobs, would be lost medical jobs and malfeasance jobs.

When the government is paying all the medical bills, auditors would have to seek out where it was also paying for the pathogens, to eliminate the redundancy. An auditor will spot the guys putting sawdust in the flour, and the guy hired to sift the impurities from the flour. If it stops the first, it can lay off the second.

Where we can eradicate the poison, we can forgo antidote.

America will have to reexamine its food supply, and its industrial byproducts, and its environment despoilers, with an eye to stop their fouling the national health.

That would be too much a shock to the system. I agree.