https://www.npr.org/2022/09/09/1121952184/the-impact-of-cali...
> VOGEL: It's such a large market so that anything which California acquires for its own product sold in its state is going to resonate among national and global companies. If you don't want to have to make separate products for California and the rest of the country, you might as well just make them according to California's standards.
2. California has dramatic experiments in cheap/free healthcare and is facing a giant budget shortfall due to it. Right now it is asking the Fed to backstop it's healthcare spending but that seems extremely unlikely.
So even California can't run free healthcare it seems, and it has been unable to build any train track due to extreme bureaucratic paralysis.