comment: >
  
  Don't forget the VA healthcare system with its more than 9 million U.S. veterans who are currently enrolled in the VA and eligible to receive health care.
context: It's the same tax increase whether it happens at the state or federal level. >
  
  Not necessarily. The federal government already runs the largest payer on the planet that has a billing system built into every provider operating in the country. CMS operating a universal healthcare system will be way cheaper than Vermont's effort with Green Mountain Care.
  For example, Vermont acts as the primary payer to about 182,000 Medicaid enrollees in the state. CMS covers 65 million people.