Thelegalization of gay marriage began in a few states and quicklybecame national policy. Could reforming health care follow the sametrajectory? (Photo: Shutterstock)
Last week, California's new governor, Gavin Newsom, promised to pursuea smörgåsbord of changes to his state's health care system:state negotiation of drug prices, a requirement thatevery Californian have health insurance, more assistance to helpmiddle-class Californians afford it and health care forundocumented immigrants up to age 26.
The proposals fell short of the sweeping government-run single-payer plan Newsom hadsupported during his campaign — a system in which the stategovernment would pay all the bills and effectively control therates paid for services. (Many California politicians before himhad flirted with such an idea, before backing off when it wasestimated that it could cost $400 billion a year.) But in firing off this openingsalvo, Newsom has challenged the notion that states can'tmeaningfully tackle health care on their own. And he's notalone.
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