Your insurance does not have to be tied to your employment. That is just the way it evolved for a majority of Americans. It started out as a benefit that was offered during times of wage and price controls. Before then, everyone was on their own. If we were inventing a system from scratch, it would no doubt be different. But, we have what we have, which includes a private insurance system which cares for 180-million people. I have been involved in staffing new hospitals, from scratch. That is difficult. Cancelling the healthcare system that cares for 180-million people would be a catastrophe. People would die. As much as people who have no experience with health care management would like you to believe, Medicare For All would not be just a simple matter of who pays who. Contracts would have to be negotiated for all of the practice groups and specialty providers. Contracts between them, that set up networks would be invalidated, putting the end to systems of delivery. Payroll systems would have to be established. And, we would have to find a large number of new doctors to take the place of the doctors who would simply quit seeing patients, as well as those who would refuse government payment, as a large number already do. Training hospitals would take major financial hits, and many would close meaning fewer doctors. I worked as an Administrative Officer of the Day, night manager, at a VA Medical Center in LA during the nationwide physician's strike because of malpractice insurance costs. I remember one time when a world famous movie star called me and begged me to allow her to bring her millionaire movie producer husband to our ER, because his doctor was out of town, his back up was busy and no ER would accept patients without their own doctor coverage. The problems we faced were nothing. The potential disruption in cae delivery caused by MFA would have the capacity to cripple the system.