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Explore · Provincial Rules, American States

Pick a province for each state

Click or tap a state to give it one of Canada's ten provincial health systems. Each click moves it to the next province, and the national total updates as you go.

Extra government health spending $0.0B a year* $0 per person · 0 of 50 states switched

* All figures in 2020 US dollars. From the study's model; see the notes below the map.

Small states:
  • Current system 50
  • Ontario (ON) 0
  • Quebec (QC) 0
  • British Columbia (BC) 0
  • Alberta (AB) 0
  • Manitoba (MB) 0
  • Saskatchewan (SK) 0
  • Nova Scotia (NS) 0
  • New Brunswick (NB) 0
  • Newfoundland and Labrador (NL) 0
  • Prince Edward Island (PE) 0
All 50 states as a list

Same choices as the map: change a state here or on the map.

StateSystemExtra cost a year
Alabama—
Alaska—
Arizona—
Arkansas—
California—
Colorado—
Connecticut—
Delaware—
Florida—
Georgia—
Hawaii—
Idaho—
Illinois—
Indiana—
Iowa—
Kansas—
Kentucky—
Louisiana—
Maine—
Maryland—
Massachusetts—
Michigan—
Minnesota—
Mississippi—
Missouri—
Montana—
Nebraska—
Nevada—
New Hampshire—
New Jersey—
New Mexico—
New York—
North Carolina—
North Dakota—
Ohio—
Oklahoma—
Oregon—
Pennsylvania—
Rhode Island—
South Carolina—
South Dakota—
Tennessee—
Texas—
Utah—
Vermont—
Virginia—
Washington—
West Virginia—
Wisconsin—
Wyoming—
All 50 states$0.0B

About these numbers

  • Every figure comes from the cost model in Provincial Rules, American States: each state's own 2020 health spending, paid for under the chosen province's public-coverage rules, with administrative costs cut to Canada's level.
  • “Extra government health spending” is the cost above what Medicare and Medicaid pay today ($1,337.2 billion of $3,347.6 billion in personal health spending, or 39.9%). Per person is the national figure divided by the population of the 50 states.
  • “Use the study's most likely matches” gives each state its single most likely province, which comes to $804.2 billion a year. The study's headline figure, $806.7 billion, is slightly higher because it averages over each state's chances of adopting every province's system, not just the most likely one.
  • The province colors here are different from the ones on the report's maps.

* All figures in 2020 US dollars. The model and its assumptions are set out in the Full Technical Report; the data and code are on the Data page.

Contact

Questions, corrections and media requests are welcome.

Data and code for every study are on our Data page.