Why don't states in the US come up with their own health insurance program? So people can pay into it prolly less then what they pay now and the state put the money in a bank and use the interest for
it can happen. especially in California, because they have the population size to motivate health providers and pharma companies to negotiate.
it's not likely in the short term with the way the system is. and the problem which prevents it is not the economics nor legislative lack of will.
it's the insurance companies' lobbying and political campaign contributions. many many California legislators' campaigns are funded by insurance companies. and historically there has been a lot of corruption in the state's insurance regulator agency.
also the state's population , for some reason, are easily swayed by political ads in certain issues. like the car-share/delivery gig drivers proposition. i think they flip flopped in successive referendums. apologies if in wrong in that.