I wish California well, but: any sort of attempts to implement massive healthcare changes state-wide (e.g. to single-payer, access to all), will immediately be

I wish California well, but: any sort of attempts to implement massive healthcare changes state-wide (e.g. to single-payer, access to all), will immediately be thwarted by US intrastate immigrants, in addition to international border pressures. >in the year before there was a 100 billion dollar windfall I am not sure of California's particulars, but some government profitabilities are largely on account of Pandemic Funding 2020-2022 (e.g. my local county hosptial for ~1M people would not have turned-profit w/out CoVid fund$).