Single payer is certainly the direction we should be heading.  We can't do it by state - it needs to be federal.  At some point we will become civilized enough to recognize this. The GOP are the ones acting like the keystone cops and can't their act together (literally) or can't get anything accomplished despite having the White House, Senate and House and you say the liberals are making fools of themselves? Really now. Maybe at some point you will learn how to play nice in the sand box and learn how to listen, cooperate and communicate for the best of the country. The GOP clearly failed to listen to their own constituents who like their health care and kept marching to the drum beat of conflict and war and not because it is best for our country but merely because of pettiness and vengeance.  And the basis of the ACA sprang from Republican think tanks - get a grip on reality.