We’ve got one plan to choose from, only option is the level of deductible.

When I lived in Cali, we could opt for Kaiser HMO or HDHP, but even the Kaiser option was eventually scrapped by my company.

Do most companies give multiple options?

It is only employers and providers who have any leverage when the insurance companies behave badly. But optionality for those constituents theoretically keeps worse behavior in check. My point was to refute the claim that “single payer is the only answer”. I think the lack of optionality means that is not the case. In fact, one of the cases for single payer is that it will reduce cost specifically from the leverage the singular payer will have over providers.