I have been working vigorously to inform people in my community about a single payer system. I see a major ethical issue here, and I am surprised at how many Americans use so many excuses to avoid the ethical situation of caring for people's health. Money, fear of socialism (without understanding what socialism really means), political ideology (as opposed to rationally looking at the issue), but most of all is the notion that the government will automatically mess things up. So many mythologies are clouding their reality.