Bret, you need not worry about single payer coming to the US in our lifetimes. The insurance, health care and pharmaceutical industries are far too powerful to let that happen.
Here is my prediction for how things will shake out: ACA will continue along for the next three years. There will be plenty of problems, some self-inflicted (e.g. the website fiasco) and some not (the innumerable court challenges). In 2017 it may be mathematically possible to repeal ACA. That is not going to happen for three reasons: First, the political landscape will have shifted, and the idea of repealing ACA will be much less popular than it is today. Second, although they will have had three more years to think about it, the opponents of ACA will still have no idea what to replace it with. It's much easier to criticize something when you're not on the hook to come up with something better. Third, any repeal or replacement of ACA will almost certainly be much more expensive. So what will happen is there will be some changes to ACA, maybe major, maybe minor, but it will continue to roll along. For better or worse, the system created by ACA is what we will know for the rest of our lives.
A few corrections to your history:
Although Kaiser was a early implementer of employee health insurance, it was hardly the first. The first employee health insurance plans were created for teachers in the thirties.
'all those people on the public dole wanting "free" care' You are of course referring to Medicare/Medicaid, the primary recipients of which are the elderly, the blind and the disabled, not able-bodied people on public assistance.
Pharmaceutical patents are good for 20 years, although the patent holder gets exclusive rights to produce the drug for only seven years. But the pharmaceutical companies have come up with novel ways to insure continued profits in spite of these limits.
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