All those who think that we need in home diaper and laundry service like france for new mothers and are willing to pay a 40% tax rate to get it raise your hands…

I pay around that much tax to live in California.

healthcare system will still have a ‘gatekeeper’ that will have the same job as any HMO, namely to grant or deny coverage.

The whole point of universal coverage is nobody gets denied the care they need. If its critical (in the UK at least) you get seen at once, they wont make you wait. However, people might have to wait a bit to get that boob job or whatever other non critical procedure, unless they want to pay for it themselves. I actually have to wait longer for a doctors appointment in CA than I ever did in the UK.