Single Payer Health Systems

The states in question are, almost invariably, those on "welfare" ... states whose federal payments are far lower than the federal assistance they receive. The "blue" states subsidize the "red" states to the tune of hundreds of billions of taxpayer dollars. Further exacerbating this, these states have more regressive state and local tax structures than the average in the country, effectively shifting the tax burden to those with the least income. It's not surprising (to me, at least) that they're also at the low end in education and literacy. The poor shlubs are getting fucked over and they keep voting for the fuckers.