this turns out to be the canadian model, essentially: having the sub-national governments (provinces or states) enacting their own versions of universal (single-payer) coverage, and then, after all the hard work is done and the programs become popular and successful, the idea spreads across the country before becoming national health care.
it's not going to be easy; there will be pushback by the weasels and sycophants who suck at the teats of the mellons and the coors and kochs and the duponts and petersons. however, the success was too much to ignore in canada and could be here. vermont, montana, places with leaders not afraid to innovate and to lead, real progress is possible.
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