ewing california have been very experienced in california at it was about individual or employer mandates to get 100% coverage, to facilitate people buying insurance to establish insurance exchanges so they can get the product cheaper. then the subsidizing people who were poor to buy the products. massachusetts has tried that ended has had some very important successes of assessed talking to a guy who runs the and exchange and their cost two 1/2 years later is down at 2. six or 2. 7%. that was from 10% and is a big improvement and satisfaction with the system is very high and support is i have not done anything with cost control and there are a lot of commentators who are worried that rising cost will undermine the system. then there is a single para britcom lot of people have proposed that we have medicare for all or canadian-style single payer system. i myself do not think that is the best system. it is very hard to provide a single payer system for 300 million americans there has not been one organizational structure that 300 million people anywhere in the world there are other difficu