During the current healthcare debates that continue to occupy the majority of media attention in this country, many solutions have been tossed around. The NEJM panel discusses cost control and the need to balance it with achieving an ultimate goal of universal coverage. Many cost control ideas are tossed around in the discussion, with varying impacts considered. One in particular, is the framework of a Single-Payer system. While the NEJM round table gives a broad overview, this analysis will drill down further.