ah, now youve changed your facts from millions to billions which makes more sense -- but yes, California economy could take the hit to increase tax revenue and still remain among the highest gdp in the country. (GDP is a viable indicator of economic strength as is there per capita personal income increase: which is steadily increasing. You're right that people would flee -- but if you noticed, i only listed Liberal states in questioning why they didnt adopt SPHC / UHC. I omitted Texas which also could afford it. So, yes, California could sustain the increase in taxation (progressive taxation not flat across the board) but many people would leave -- which demonstrates that limousine liberals are not as pious as they portray themselves