I'm starting to think that a good single payer model might be to expand medicare to the entire population, but have a designated hospital for each state (States can get more for every 5 million of population) that receives 20% more than the medicare price for 'exceptional service" That 20% would be knocked down to 10% and then 5% depending on how huge the hospital complex is. That exceptional hospital designation would last a 1-5 years
States, if they dont want to use it, can sell their exceptional hospital award to other states (might be useful to states like Wyoming or North Dakota, etc)
That way, Hospitals like Mayo and Johns Hopkins wont completely reject single payer and flood Congress with money and lobbyists. They'd still might do it, but those well-renown hospitals would gain a competitive advantage over their competition in their region and still be able to be leaders in medicine, care and research so long as they kept that exceptional hospital designation.
I don't see single payer happening for a long while since I'd imagine that every hospital opposes it. This way, at least you might get the best, wealthiest, and most prestigious hospitals on your side
http://opinionator.blogs.nytimes.com/2013/03/09/in-the-south-and-west-a-tax-on-being-poor/?hp
Speaking of taxes, thats a pretty interesting article in the NY Times about the Union/confederate+West divide on state tax policy. What I found interesting was the Earned income tax credit at the state level. I didnt even realize Minnesota had an EITC, and I think I would actually prefer if that was raised and expanded to single Minnesotans, and the minimum wage only raised up to 8.
Course, that might be a bit more tricky since I dont think it takes tax dollars to raise the minimum wage, but it does to expand the EITC. Still, I think the EITC is better policy