It’s important to remember that we already have one US state who offers a version of the health care system that President Obama is trying to pass for the entire country — Massachusetts. Today the New York Times runs an editorial on how their health care program is doing. In short, it has done an excellent job of expanding coverage, and has not yet made much progress in terms of controlling costs. However, the state is trying to create an arrangement where they will move away from the fee for service model, which could have a huge impact down the line.