>Then there's the issue of waste. For profit companies must answer for their spending, whereas the federal government simply spends at will.

I pay $36 per month for public health insurance. Note this is not mandatory, but so cheap that almost everyone pays it. My income tax rate is 31% (Federal 22% + 9%). Could you post your month costs (insurance plus out of pocket) for health care plus your income tax rate? If what you are saying is true, then you should be spending less than me.