Steve Shaw and Greg F -- I can't speak for Yanks who "oppose moves to improve your health service", nor am I "part of the current U.S. Republican 'War Against Poor People'".

I (as a transplanted German who grew up with universal health care) am and have been a champion of Single Payer. I continue to oppose the Affordable Care Act because it's an egregious giveaway to giant insurance corporations that forces Americans to enroll in their programs with no way to opt out. Costs for millions, including me and my family, continue to go up, while services have not improved in any noticeable way.

We are hit with punitive tax penalties if we don't enroll. It's extortion, pure and simple, and does way too little in the way of actual "reform" (such as removing the profit motive from the health care field, which would be the right thing to do).

I hope that answers your question.