Lewis Mehl-Madrona: More about Single Payer In this article, I continue my musings about single-payer health systems. I share my experiences of working within the Canadian health care system as a physician (family medicine and psychiatry). I describe the back logs we did have and how we got around them, the lack of utilization review, how I could hospitalize anyone at anytime so long as there was a bed open, and how no one pushed me to discharge patients too early.