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United States puzzle The legalization of gay marriage began in a few states and quickly became national policy. Could reforming health care follow the same trajectory? (Photo: Shutterstock)

Last week, California’s new governor, Gavin Newsom, promised to pursue a smörgåsbord of changes to his state’s health care system: state negotiation of drug prices, a requirement that every Californian have health insurance, more assistance to help middle-class Californians afford it and health care for undocumented immigrants up to age 26.

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