2016 Postmortem
In reply to the discussion: Hillary Clinton is now campaining against Single Payer health insurance [View all]Rilgin
(787 posts)You mention Medicaire. Well Hillary and Chelsea also mentioned Chips, Medicaid, and the ACA. ALL OF THEM are administered by the States. If your point is you dont want state involvment, it becomes essential we change out system now since all of our major programs in the health care sector involve some level of State administration.
Any expansion of Medicare will not ignore the problem of State obstruction just like the ACA allows a federal exchange to take the place of a state exchange if they do not offer one. The relation between state and federal is likely to be similar to all other programs with joint jurisdiction (think environmental regulation). The federal goverment provides baseline protections for individual citizens, States are free to expand and offer citizens better benefits.