I have several family members that are nurses in the VA system, and we just had a lot of experience with the VA system because of my uncle who passed away in December. It really depends on the VA. Some are better than others, but I do agree on the whole they are pretty depressing. A lot of that is funding problems though, as well as a general apathy for specifically veterans in this country. I don't think you can make the assertion that the VA is the best example of what hospitals in the US would look like with a single payer healthcare system. Look at hospitals in other countries with state run healthcare, they aren't that way.
>>>>sorry messed up the quote thingy
Well, we can just agree to disagree. I worked hand in hand with administrators, department heads and all the way up to the C-Suite to help hospitals curtail waste from intake to discharge. Sadly the VA's are no different than anything else the government touches. The bureaucratic waste of $ from front door to back would make your eye lids flip. The only hospitals that were interested in running a tight ship were for profit centers. Sadly, 2 of the best cost containment practices I learned were by looking at what the VA did and going the other direction. GREAT people in the VA's who work very hard, but they are too often hamstrung by bureaucratic nonsense.
THIS is my biggest issue with the Affordable Care Act. I'm still looking for what they included in the bill to reduce the cost of care. All I see is they found a way to give health care to 35-40 million people, not reduce the cost.
I will give you an n=1 experience on your 'other countries'. I have a Canadian friend who went to Salt Lake City 2 years ago to pay cash to have his ACL reconstructed. Why? He waited 18 months for his referral visit to the ortho and still no visit. 18 months! He and his wife flew to SLC, had it fixed and were home in 72 hours. His assessment of the Canadian system is more or less if you have a cold or splinter it's great, but when you need care 'now' it's a joke.