There are obvious reasons why some people in the United States oppose the prospect of single-payer health care. Taking the profit out of health care — a moral imperative and the norm internationally — poses a major threat to the pharmaceutical industry, insurance companies and others. These interests spend millions donatingto and lobbying powerful politicians in both parties. The goal is to do what corporations are designed to do: maximize profit regardless of its impact on outside stakeholders and the public at large. Capitulating to the donor class is never a good look for politicians, so lobbying and campaign finance are virtually never the stated reasons for opposition to a better health care system. The actual reasons for opposition are often quite separate from the explanations offered to the public.