If the goal of health-care reform is to provide comprehensive universal health care in a cost-effective way the only honest approach is a single-payer approach.
People don't trust private health insurance companies for all the right reasons.
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As a single-payer advocate I believe that at the end of the day if a state goes forward and passed an effective single-payer program it will demonstrate that you can provide quality health care to every man woman and child in a more cost-effective way.