由于此撤销举动可能导致奥巴马医疗的保费激增，许多加州民主党人都要求像加拿大和欧洲那样设立一个由政府资助的单一付费医疗保健体系，即便这一体系可能会使州预算增加三倍。
Because the repeal could accelerate a surge in Obamacare insurance premiums, many California Democrats are demanding a single-payer government-funded health-care system, like those in Canada and Europe. Never mind that such a system might triple the state budget.