I don't love Kaiser - the prices still suck. But they sometimes suck less, and their system is far more streamlined than I've had with other insurance providers. Still ridiculous to be trapped in a system with no control over or transparency into costs.
It would convert nicely enough to a single payer. Granted costs might suck but if they were just absorbed into the system, I wouldn't really care. I could at least believe they are trying to be efficient. As it is, I'm left believing I get charged as much as they think they can get away with. And wth else am I going to do? Kaiser is much cheaper than my employer's other option (there are literally 2), and I've had the other before. It just sucks (slightly) differently.
Agreed they don't seem to get used, but they exist. My state has a digital ID now that can verify age (bracket), and a picture with date. That's not bad - less than ideal for a website that doesn't need my picture, but perfect for a bar (clearly the intent).
It could so easily be done if that was the actual intent.