With a city/regional universal health care system, this will include all local people and possibly remove the burden from small businesses from needing to cover insurance for their employees. This will be a win-win for everyone involved, so everyone can be covered better than we are now, at less cost to everyone. Remember, when we approach health care as a human necessity, rather than a profit-driven industry, much more is possible. Especially when we overcome the foolishness the insurance companies’ stakeholder and executive profits; we will save hundreds of millions.