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Single payer on a state level is not tenable, so it is no surprise that it fails on the state level. It is simply numbers since states cannot prevent people from people who need healthcare moving in and people who help pay for it moving out.

Obama’s senate majority was not really a majority. Leiberman was basically yesteryear’s Manchin, and maybe there was a couple others, but either way, having 50 or 51 or 52 Democrats is not a clear path to victory that would make it reasonable to blame the Obama admin for anything.

Best way I can judge their performance/intentions is to note that ACA resulted in more healthcare for more people than any other legislation in recent decades.



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