Just me here's, pointing to the VA as an illustration of what fully nationalised health care would look like, is valid.
The state sector gets a huge dollop of undeserved good will
Look at any news site, any news paper, and you will find articles detailing state sector failings, inefficiency, corruption, incompetence, overspend, debts, abuse, bullying...
And right next to them, and with no Sense of irony or scepticism; articles offering greater state sector involvement and control as a universal panacea for all ills
It's a child like "mammy will fix it"
Anything with humans involved can eff up (and generally will eff up sooner or later).
An eff up, depends upon your viewpoint.
Whether the failings are in the VA, the health insurance system, or farm subsidies - who are they failings for?
From the point of view of people working for the VA, people vetting applicants to Obama care exchanges, or a bureautwat who spends 3 weeks on $1,000/ week, re calculating the acerage of a farm, so he can reduce its subsidy payment by 50c...
The system could be working very nicely for them.
Under politics, those with a concentrated interest, will usually out lobby the more diluted interests of the general public, and that has been the case all of the time,. Right from the time of the articles of confederation ( which broke down over the issue of tariffs between the 13 colonies).
After the coup-d'etat of the constitutional convention, all 13 colonies were brought into one tarriff block
What is a tarriff for?
It allows domestic special interests to charge domestic consumers higher prices for fewer and lower quality goods than they would otherwise have available
That has been the purpose of government in America, right from the start - to screw over the population, to the benefit of politically favoured special interests.
The failings at the VA (for veterans - not for employees) are not somehow accidental, they're institutional, that's what the institution does.