Steve's barking better a single payee then payer for American Health Insurance

Heath care in the United States stinks. The Affordable Health Care Act at best will take care of one of the woes, lifting at best 10 percent of the problem (coverage of most of the Americans with some form of health care). It doesn't address the cost of health care that states shell out which is around 30% of their budgets.
No were in America's health care is the failure to replace doctors that are leaving the health care profession with the cost of training new doctors so there will be less of a shortage of doctors. Our businesses are at disadvantage that America is one of the few counties that have it's employers pay for health insurance.
( Unless there is a dollar for dollar tax break it's a big disadvantage).
Hospitals are closing all over the country, if there is a pandemic were in real trouble.
The argument that America's health care system is the top because people come here to be treated, doesn't hold much water when you consider that  more* American citizen leave the US for health care then come here for medical reasons.
Now we come to how the crux of my blog today, how to improve the American health care system, weather to have a single payer or a single payee?
The difference is taxes collected should go to a government run program or money collected should be given to the citizens to buy their own health insurance .Medicare gets a cheaper rate from hospitals and doctors then private insurances do. My problem with government setting the prices after the screw up that congress has been going through and the crazies in our government bureaucracies I'm very afraid of what can happen to our health care system My other fear is I don't want some crazed elected or government official telling the females of my life if they can have birth control and if they can have an abortion. I don't want any elected or government official to tell my doctor how to handle end of life question.
A single payee option would be all citizens of the United States would be get a voucher for private health insurance which would be more expensive then the single payer option but the people would have a choice, and those who do want women's health issues on their issuance can find one that does and those that don't can chose one that doesn't. The standard would be the health insurance that government employees get now.
If you are a citizen and don't pick a health insurance you'll get it by random lottery.

I believe that a dedicated tax of 5% of income including capital gains (reducing what goes into the general funds by that 5%) should cover the cost of insurance plus the cost of training new doctors and even giving grants to hospitals to stay open. It may even be possible to cut the tax rates for general purposes.
States and Cities would have more money, because they no longer have to pay health care cost  for now and into the future. ( The health care time bomb will be defused).

* Indonesia, Panama, Thailand and India have hospitals dedicated to Americans and Canadians and Europeons for medical purposes. Those who go there are called medical ( or some times called health care)
tourist.