France does not have a single payer system. Neither does Germany! Canada does, yes, but my guess is that you don't know the details of any of those systems enough to argue about how they would or would not apply to the US.
I think the most "libertarian" solution would be to let *states* decide how to implement healthcare and stop doing so much at the federal level. At most the federal level can impose some guidelines so all states do something. That way each person can live where the laws suit them and different healthcare models can be adopted depending on the demographics of the region (more rural vs. more urban, denser population, larger land area, etc). But I think that boat has sailed.
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