huh. 
Did you do drama club in school?
If we go to civil war over single payer, then yeah, we have real issues that anybody would think that it is an issue worthy of civil war. 

As it is, CA is looking at doing Single Payer. If done right, it would make sense. If done wrong, well, huge mistakes.
However, before they do that, America had better solve the illegal issue. Otherwise, SP will simply shift the debt from ppl to gov.