While I'd love for the country to implement it, I will settle for my state implementing single payer as a starting point. You'd think it'd be easier at the local level, but seems almost as impossible.
I can't speak to the degree that scale impacts tackling this on a state by state level, but it's exciting to see New York's plan. Massachusetts seems like a state that could expand existing programs to match it, and I think it's reasonable to expect that California would make moves if NY's bid is successful.
There's a chance of bipartisan agreement to allow insurances across state lines if progressives are willing and able to push for their state legislatures to look for interstate compacts on insurance pools and policies. I could see smaller or less populous states getting on board with larger states to further spread costs and populations, which could bring better outcomes to rural populations as well. Once a few states band together and work out kinks in administration it could be much more attractive as an option for additional states.
Well, here's hoping New York's plan is implemented and successful. If it can lead California to pass single payer, and even better, have an interstate compact, it would be nice.
I'm in California, and they worked on a bill, but failed to bring it for a vote a couple years ago. Democrats are in full control of our state, with almost no possibility of Republicans being able to pick up the seats needed to oppose them, so responsibility fully lays on Democrats shoulders for this.
I'm hoping for the public to push their own proposition, but I've yet to see it happen.