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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Having worked and studied in the area of public health for more than 20 years, I read with interest the articles on the projected federal surplus and also "A 2020 Vision for American Health Care."^1-2 The poor ranking of the US health care system by the World Health Organization (WHO)³ is based on our system's inequity.

However, some visionary states in our country have been trying to correct these inequities. The state of Hawaii, for example, requires that all employers provide health care insurance for employees. Review of their success and failure may offer lessons for the federal government. My sister informed me that by law she was required to provide health care insurance for her full-time nanny in Hawaii. Also, the state of Oregon has tried to prioritize what health care benefits should be most highly supported. Studying the results of their innovative system may provide insights for federal . . . [Full Text of this Article]