We have 50 states, 50 laboratories of which California is the largest. I wish Californians every success with their single-payer attempt since this could be a template for the other states. Indiana, where I live, expanded Medicaid under the ACA by using a co-pay with federal permission. There are many ways to achieve coverage for our whole population without breaking the bank and certainly without making the 1% apoplectic about having to pay more taxes.