That bill which would provide affordable healthcare to everyone is also up for vote in California. The fact of the matter is that by the federal government taking in so much of the money and dictating how much gets sent back to the states and for what purpose, ultimately they are just a middle man holding back these sorts of things. If things like affordable healthcare and social policies like that are really your goal, the best way for it to happen is to give it back to the states where people of like mind are often located. Making it go through a heterogenous federal process just siphons money out into red tape and denies the people their ability to self govern. It stands in the way of both progressive ideas and conservative ones. The end result is some gray blend that doesn't help anyone and just wastes money.