In the United States, certain publicly funded health care programs help to provide for the elderly, disabled, military service families and veterans, children, and the poor,[30] and federal law ensures public access to emergency services regardless of ability to pay;[31] however, a system of universal health care has not been implemented. The Commonwealth of Massachusetts is attempting to implement a near-universal health care system by mandating that residents purchase health insurance by July 1, 2007.[32] California, Maine, Pennsylvania, and Vermont also are attempting universal systems at the state level, with some smaller locations such as San Francisco also attempting this at the citywide level.[33] Some government health care systems allow private practitioners to provide services, and some do not.
Presidential Candidate Dennis Kucinich is the only U.S. Presidential Candidate advocating universal health care over health insurance.[34] On the federal level he also introduced Conyers-Kucinich United States National Health Insurance Act H.R. 676, which is backed by over 14,000 doctors. [35] The goal is that these would be publicly financed and privately delivered
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