> don't see the state (especially bloated California) doing better [than Kaiser Permanente]

In what sense? What do you like about KP: the doctors, nurses, etc.? The billing department? Single-payer would not take the staff away. It would get rid of large swathes of the billing department that are pure waste.

Not everyone has had your positive experience with KP. We switched away due to lack of availability of certain specialists.