Stalled in D.C., the Single-Payer Fantasy Makes Its Way to Blue States

As congressional Democrats shelve a terrible idea for now, their state-level counterparts try to revive it.

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California State Capitol in Sacramento

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Despite the best efforts of progressives such as Senator Bernie Sanders (D., Vt.) and Representative Pramila Jayapal (D., Wash.), Medicare for All is off the table in Congress — for now, at least.

But that doesn’t mean single-payer health care is dead. Like a zombie, the idea is being revived in blue-state capitals across the country.

Sally C. Pipes

About the Author

Sally C. Pipes

Sally C. Pipes is president, CEO, and Thomas W. Smith Fellow in Health Care Policy at the Pacific Research Institute. Her latest book is The World’s Medicine Chest: How America Achieved Pharmaceutical Supremacy — and How to Keep It (Encounter 2025). Follow her on X @sallypipes.

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