Sadly, the California Senate Health Committee defeated a ground-breaking proposal to reform the state's health insurance system and extend coverage to millions of uninsured residents. In the end, it was the economic downturn that killed the well-intentioned plan. The state already has a $14.5 billion deficit, so the pprobability that the ambitious proposal would not be self-sustaining was just too risky to bear at this time.

The nation was watching California on this one and the proposal's failure doesn't bode well for health insurance reform at the national level, regardless who gets elected.