California, which has shown the determination to go it alone in areas such as environmental protection, scientific research and workers' rights when its values conflict with policies at the federal level, is moving forward with its most audacious effort yet.
That's a plan to create a universal single-payer health care system.
Called CalCare, the program would take over health coverage for more than 40 million residents from government policies such as Medicare and Medicaid and from private plans whether sponsored by employers or purchased through the Affordable Care Act marketplace.