Single payer is the only option.  The cost of healthcare for small businesses has priced them out of covering their employees.  If you are fortunate enough to work for the state or muni then you have great coverage.  Unfortunately the cost of insurance is creeping up for your premiums and deductibles also.   The State already covers a large percentage of Alaskan's.  For years as a small business employee I have been begging the state to include small businesses in the State insurance pool.  This is the time.  Someone 
 PLEASE listen!!!!