We were told so from the beginning
THEN-PRESIDENTIAL CANDIDATE BARACK OBAMA: It is my belief that not just politically but also economically, it's better for us to start getting a system in place - a universal health care system - signed into law by the end of my first term as president and build off that system to further - to make it more rational - by the way, Canada did not start off immediately with a single-payer system. They had a similar transition step.