How did Hawaii's effort to establish universal healthcare get derailed by the Affordable Care Act? What's an all-payer healthcare system and is it an alternative (or a path) to single-payer? What really happened with Vermont's attempt at single payer? Dr. Stephen Kemble, psychiatrist and past president of the Hawaii Medical Association, and host Brenda Gazzar discuss what key feature of a single-payer plan is absolutely essential to reduce overall healthcare costs. Learn more & subscribe at HEAL California!