I am shocked and ashamed that anyone still thinks that socialized medicine, or single payer state run healthcare whatever you want to call it, is less expensive. Unless you mean that when the money runs out and the state starts to ration the care(usually from the elderly and the disabled). You know the throw away people that can't stand up for themselves!!. As far as being efficient that is a joke. Goverment still find a way to lose money even when no one get care. Honesty please open your eyes before its too late. Good people are trying one last ditch attempt to get rid of this law before it gets its tenicales in every aspect of our lives.