Another effort to change the healthcare system in a U.S. state is dead in the water. This time, last week, lawmakers in California declined to vote on a measure whose proponents say would lead to a single-payer system in the state. Monday’s nonvote in California provides yet another instance in which a state cannot move forward with a proposal for single payer. But while supporters may argue that there just needs to be more political will, in reality, it is not impossible to achieve a true single-payer healthcare system on a state level. On a larger scale, the recent results in California show the futility of the current reformist strategy to win universal healthcare in the U.S. State-backed efforts for healthcare reform like those in California — or the push to pass the New York Health Act — have been touted by many on the Left as a path to winning universal healthcare on a national level, but they are actually counterproductive.

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