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In a country that prides itself on equality of opportunity, why is there so little equality when it comes to healthcare? Why does the value of equality of opportunity not translate into social solidarity? This Article seeks answers to these questions. Risking the label of socialist, I posit that the most cost-effective, efficacious, and efficient solution to the health care mess that the United States is in is universal single-payer reform with the federal government as that payer.

Part I examines the United States' current climate as it affects health care reform. In Part II, this Article scrutinizes recent state health care reform legislation, specifically in California and Massachusetts. Part III evaluates current national reform efforts, while Part IV argues that though the barriers to implementing single-payer health insurance may be insurmountable at this time, it is the best answer to our health care crisis.