加州面临 700 亿美元的预算赤字，且生活成本高昂，这引发了人们对单一支付医疗保健的质疑。 California faces a $70bn budget shortfall and struggles with high living costs, raising questions about single-payer healthcare.

加州面临近 700 亿美元的预算缺口，并且难以负担得起，住房、租金、电力、天然气、交通和食品的成本在全国最高或接近最高。 California faces a budget shortfall near $70bn and struggles with affordability, with the highest or near-highest costs in the nation for housing, rent, electricity, gas, transportation, and food. 随着教育和公共卫生等基础项目失败，人们不禁要问，为什么要信任国家提供单一支付医疗保健。 As fundamental programs like education and public health fail, it raises the question of why trust the state with single-payer healthcare. 由于成本过高，最近建立单一支付医疗保健计划的尝试被迫停止。 Recent attempts to establish a single-payer healthcare program have been stopped due to the massive costs.