> Because Republicans can tie-up such laws in committee to prevent it. But this doesn't explain why it hasn't been achieved on the state level. > Obamacare is

> Because Republicans can tie-up such laws in committee to prevent it. But this doesn't explain why it hasn't been achieved on the state level. > Obamacare is a huge improvement over what came before. It's rather absurd to complain it isn't enough. Not really, you can appreciate an improvement whilst looking forward towards further improvements. > California spends a considerable amount on generous public health programs. A great many homeless have health insurance from the public programs in California now. Tearing down all barriers would leave California at risk of medical tourism draining public funds. This sounds like a solvable problem. You could have an upfront tax or medical availability delay of a few years to make health tourism really unattractive. Blaming other people sounds like a great way to not deal with the issue.