Single payer absolutely does something it's insane you would suggest otherwise. It's a basic counting argument: if 60 out of 100 are paying into the system but we have to pay ER fees for the other 40 not paying, then there is an undo burden on the original 60.

If everyone is paying then the burden is shared. Let's not even imagine the utopia of a progressive healthcare tax! The shame of a "self-made business man" losing 5% more of their income earned over 200k!