How has the idea fared in California?

In 2017, the single-payer plan was shelved. Two possible price tags had been floated, with two possible payment options.

A Senate committee estimated the cost at $400 billion a year, saying it could be paid for partly by trading current consumer and employer expenditures for a 15 percent payroll tax, and partly by rolling in the $200 billion a year that is already being spent on health care by federal, state and local governments.

An analysis by the California Nurses Association, a proponent of the legislation, put the price around $330 billion a year. It also would trade consumer and employer spending for two new taxes, a 2.3 percent levy on businesses’ gross receipts and a 2.3 percent sales tax. Like the Senate’s analysis, this study said the rest could come from money currently spent on health care by government agencies.