There’s two straightforward reasons a universal healthcare program doesn’t work on a state level and needs to be federal.
One, it’s not really universal if it only extends to the border of the state. Anyone visiting from out of state is still going to have their insurance which means doctors are still going to have deals with private insurance companies. Single payer requires a single payer to keep costs in line.
Second, the federal government has the advantage of being able to deficit spend to keep universal healthcare solvent that states don’t. MMT keeps the lights on.



























Yeah he’s gotta be spending hundreds of dollars every month on OnlyFans subscriptions.