How would you feel if insurers prodded overweight people to exercise and eat better, or else their rates go up or coverage cut altogether?

How would you feel if insurers prodded lazy people to engage in healthier lifestyles?

Empowering insurers could be useful in this regard.

So, you are fine covering people's stupidity when being active? Or you are only interested in not covering people you perceive as being a moral blight?

> No, people who have serious health issues are the ones who tend to prefer the more complex treatment options, shorter wait times, and customizable interventions that multi-payer systems have to offer.

This statement shows an utter lack of experience navigating the insurance/medical complex with a serious health problem.

Plenty of folks that have complex health needs are best served by single-payer systems. Especially if your complex health needs winds up getting you fired from that employer that pays for part of your premiums, works someplace with crappy health insurance, or pays too much out of pocket to afford proper care.

Besides, you can get those things with single-payer health care by purchasing private insurance on top of the single-payer plan or simply visiting private places instead of the state-funded ones. Here, the state still pays the private places their normal fees and the extra payment from the patient provides bells and whistles, generally including things like shorter wait times in some cases.

Just because you have a serious health issue doesn't mean you need a complex treatment option. A gall bladder can be a serious health issue. All interventions are customized to the patient based on medical standards lest you risk injuring the patient. You also aren't as likely to get the slew of run-arounds when changing health insurance or doctors (migraine sufferers often have to repeat treatments that didn't work or find their medication that works is no longer covered, even if their medical history reflects this). You aren't getting repeat tests because the others were out of a hospitals' network either (happened to my aunt).