The United States spends far more on healthcare costs than other industrialized countries, yet we continue to have wider gaps of coverage and report worse health outcomes. California Assemblymember Ash Kalra is paving the way for a better system in his state through the California Guaranteed Health Care for All Act, which at the time of recording had been advancing through the state legislature for nearly a year. The night before this episode posted, the Bill died in the Assembly — but Assemblymember Kalra’s thoughts on how a state-based single payer system would work, the hurdles it faces, and how such a program could become the blueprint for national health care reform can still inspire future lawmakers and activists to find new paths forward for health care in America.