Alaska is it's own special case, that other states can't replicate TBH..
Alaska is pretty much a socialist state with-in the US which is why I used to laugh so hard at Palin when she would go rah rah socialism bad..
In Alaska the people pay zero taxes. Big business pays all the taxes for the entire state. Added to this residents get a check each year for excess tax money (yes they get a tax refund for not paying taxes).. (it used to be over $10k a year but I think it's about $700 these days)
Added to this for every dollar in Federal tax collected in Alaska, they get back something like $2.5 in federal substitutes. It is the biggest welfare state in this country..
Other states likely can't afford to do that because they don't get that kind of federal welfare substitutes vs the size of the population. Also in other states is a reversal where the people pay all the taxes and big business pays very little.
Even Vermont with it's fairly high tax rate and low population couldn't afford to do a single payer health care system on their own and Sanders tried very hard to make it happen.
States simply can't do this on their own, it has to start with the federal govt. If we put the investment into heathcare we could have a single payer system, but instead we have Trump taking 3 million dollar weekly vacations, planning to spend 20- billion for a useless wall and wants to spend who knows how much more on the military and nuclear weapons..
Obamacare was always meant to be a stepping stone to single payer IMO, but with Republicans in control, it's gonna be a dead end and we will end up with an even worse system that is even more costly.. Republicans don't want to fix healthcare, they want to make Obamacare fail so they can say "see we can't afford single payer"..
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