Photo by Pete Bobb | Photoshopped by Author

Why Don’t Any U.S. States Have Single-Payer Healthcare?

Anthony Galli
5 min readSep 9, 2020

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Depending on the poll question and sample size, single-payer has received on average about 30% — 60% U.S. support…

  • Kaiser Family Foundation (5/13–5/18): 57% favor
  • Business Insider (3/13–3/14): 49% favor
  • Quinnipiac (11/21–11/25): 36% favor
  • The Economist/YouGov (9/14–9/17): 45% favor
  • CBS News (8/28–9/4): 57% favor
  • RealClearOpinion (4/30–5/5): 55% favor

And according to the Washington Post, a majority of House Democrats now support Medicare for All.

No matter how we slice it there’s a sizable chunk of the American electorate, especially among Democrats, who support single-payer healthcare.

And so if this policy is so popular among Democrats then why hasn’t it been implemented by at least one Democrat-majority state, such as California, New York, Massachusetts, or Vermont?

For one, the problem with state-based single-payer healthcare is the federal government already plays a major role in providing and regulating the industry. About 17% of Americans are on Medicare, which is a federal health insurance program, but a state can work around that by filling the gap, i.e. people under 65 who aren’t disabled would be put into the…

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