General Discussion
In reply to the discussion: Message auto-removed [View all]enlightenment
(8,830 posts)insurance companies is encoded into the federal law. You have to get that out of there, first. Have you seen any politicians with the ethical conviction and political chops to accomplish that lately? I haven't.
Also, you cannot talk about a move to a true, single-payer system if you're going to suggest that it operate state by state. A system of healthcare cannot be dependent on the states; it has to be national or it defeats the purpose of healthcare for all.
California probably wouldn't fight it - and a handful of other states as well. But that only helps the people in those states and fails as a system of healthcare similar to the civilized nations.
We are a nation divided, more and more. It's easy to say (and I'm not saying you have said this, but I've seen it many times on DU) "move somewhere else" - but that's a version of "let them eat cake" and is completely unrealistic, particularly in the current economic climate.
The conversation has to come from the leaders of the nation and what they have told us is that the PPACA is the best they can do.