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The health care industry has spent $134 million on lobbying this year to keep its profits high and public health in the shadows. In 2003, a young Illinois state senator named Barack Obama told a local AFL-CIO meeting, "I am a proponent of a single-payer universal health care program." Single payer. Universal. That's health coverage, like Medicare, but for everyone who wants it. Single payer eliminates insurance companies as pricey middlemen. The government pays care providers directly. It's a system that polls consistently have shown the American people favoring by as much as two-to-one. There was only one thing standing in the way, Obama said six years ago: "All of you know we might not get there immediately because first we have to take back the White House, we have to take back the Senate and we have to take back the House."