Public Sharing of Health Care Costs

What would happen if we had a nationalized health insurance system in which user fees were not based on projected expenses but were post-op? (In other words, all of the health care costs from 2010 would be tallied up and divided using a sliding scale, and payment would take place when people figure out their 2011 taxes.)

Most appealing about this to me are the removal of any profit motives on the part of the insurance provider, the elimination of risk expectation variability in cost determination, and the national unification that would form around everyone encouraging everyone to be healthy and therefore wealthy.
Wise?

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