Well first off the proposal on the table isn't for a nationalized health care system.

As as the question about who makes decisions, those decisions are made now by doctors, hospital admins, patients and family members, and insurance or pharmaceutical admins. That wouldn't change under the democratic proposal.

"When the snows fall and the white winds blow, the lone wolf dies but the pack survives."
Winter is Coming

Now this is the Law of the Jungle—as old and as true as the sky; And the wolf that shall keep it may prosper, but the wolf that shall break it must die.
As the creeper that girdles the tree-trunk, the Law runneth forward and back; For the strength of the Pack is the Wolf, and the strength of the Wolf is the Pack.