Germany does not have single payer. They have highly regulated private insurers. That is the model that US health reform has as its goals.

There is more than one way to efficiently manage health care for a nation.

And if you think that Obama did not try to get the best outcome FOR the people that he could, given what he had to work with, you are not as well informed as you think AND you did not count the votes in the Senate. Hint: Lieberman, independent "Democrat" from insurance state Connecticut killed the public option and several other Democratic Senators made single payer a non-starter.