Intended for healthcare professionals


Colorado’s bid to create first single payer system in US faces uphill fight

BMJ 2016; 355 doi: (Published 28 October 2016) Cite this as: BMJ 2016;355:i5832
  1. Michael McCarthy
  1. Seattle

A measure on the 8 November ballot in Colorado that would create the first single payer healthcare system in the United States faces apparently insurmountable opposition, as polls indicate that about 60% of voters oppose the law and that only about 30% approve.

The Colorado Creation of ColoradoCare System Initiative, also known as amendment 69, would amend the state constitution to establish a healthcare payment system that would finance universal healthcare for all Colorado residents.

State initiatives allow voters to bypass their legislators and place measures on election ballots through a signature gathering process. If a majority of voters support the initiative, the measure becomes law.

Proponents, pointing to efficiencies …

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