Why Single Payer Works Better at the National Level than the State Level

There’s a single payer plan advancing in the state of California, and many people are excited about it. And for good reason–a single payer system can potentially extend coverage while cutting costs. I’ve written about the virtues of single payer many times before, but there is a political danger in attempting to do single payer at the state level. Ironically and tragically, the very economic forces which make single payer such a good federal policy create powerful dangers for state systems.

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