It sorta works for kaiser - they administer the insurance and the hospitals. Very convenient for people who both have the insurance and access to their facilities.
Nowhere near as good as a single payer system of course.
I would love to, but unfortunately our work requires windows due to the software packages we use. And no, I really don't want to run a virtual machine for CAD.
They can pry my hardware from my cold, dead hands.
Also my car with knobs. I will continue to maintain that car for as long as possible.