сейчас - в Массачуссеттсе, скоро - везде

Last August Beacon Hill was forced to impose new price controls and a cap on overall state health spending because "health-care spending has crowded out key public investments," as Mr. Patrick puts it in his budget.

He's right about that: Health care was 23% of the state fisc in 2000, and 25% in 2006, but it has climbed to 41% for 2013. On current trend it will roll past 50% around 2020—and that best case scenario assumes Mr. Patrick's price controls work as planned. (They won't.) In real terms the state's annual health-care budget is 15% larger than it was in 2007, while transportation has plunged by 22%, public safety by 17% and education by 7%. Today Massachusetts spends less on roads, police and schools after adjusting for inflation than it did in 2007.

Ну и, ясное дело, налоги поднимают. И правильно - решили учредить бесплатную медицину, оплачивайте. Ну и в масштабах всей страны - я думаю, как только Обамакер начнут воплощать, с нынешними дефицитами и расходами т.п., без подьёма налогов не обойдётся.