You really should define "healthcare outcomes."  For instance, it one of the outcomes is life expectancy, that may or may not have much to do with whether or not we have single payer.  In this country it has more to do with lifestyle choices.


You appear to have a case of Fatal Conceit by implying that blue states know what they're doing and red states don't.  Your post is one of the few times I've heard someone who presumably is blue (D) complain about forced wealth redistribution.  Is it OK if it's your team doing it since they "know what they're doing?"  "We know what we're doing.  Just ask us."