In recent years, experimentation with single-payer and universal health care systems has largely taken place in the nation's governmental laboratories.

Most of us call them states.

Some states—most notably Vermont—have investigated building a single-payer system for health care consumers within their borders. However, the hurdles were too great to overcome in the Green Mountain State and Gov. Peter Shumlin had to put a halt to single payer due to a very high price tag in 2014. Fast forward to the 2016 presidential election cycle, and the issue again cropped up in the campaign of Vermont's own Bernie Sanders, who made universal health care a central plank in his socialist-minded platform. Sanders created a lot of exposure for the idea, and several states—up to 20 by some estimates—have opted to explore single-payer or universal health coverage in the past few years.

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