Barack Obama

as more people benefit, we get more support politically and more pressure on politicians for bigger reforms. We need more success stories, more people need to know their friends and loved ones are benefitting, and collectively our health outcomes and economy has to be improved because of it. This is the only way to get people to start believing that everyone does better when everyone does better, rising tide lifts all boats, etc. They have to see it to believe it.

Gay marriage happened one state at a time until it reached the tipping point

We might get single payer faster than you think. Do it at the state level first.