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Consuming state budgets. So i want to start to get to the bottom of this, because even with all the other things going on in this country that are very important, thisus is too. It involves our health and our Fiscal Health as a nation. Sally pipes, youre president , chief executive officer of the Pacific Research institute, a san franciscobased think tank founded in 1979. Fantastic organization. Youve written a lot and you still write a lot about this subject of health care. So lets start from the beginning. What is singlepayer health care . Right. Well, thats a very important point, because a lot of people have no idea what it really means. Singlepayer health care, mark, means the government is the only provider of health care. All private coverage, private insurance what people have employersponsored coverage, whatever is all banned under a singlepayer system, and the gove ....