"Vermont's new governor-elect Peter Shumlin makes the case for a single payer system first and foremost as an economic issue based on the trajectory of cost increases for the state, employers and individuals. Shumlin campaigned on a platform that calls for implementation of a single payer system, with benefits that follow the individual and are not a requirement of the employer. The system would reimburse based on outcomes rather than fee for service using technology for medical records and payment. It would also eliminate private insurers and their administrative costs."
Source: http://www.pnhp.org/news/2010/november/single-payer-system-takes-center-stage-in-vermont

However, the Affordable Care passed on federal level would delay efforts by Vermont and soon California to 2017! The Congressional Budget Office was worried that states could play out the system to receive more money.
Source: http://voices.washingtonpost.com/ezra-klein/2010/11/sen_bernie_sanders_vermont_sta.html

California has passed single payer health care legislation twice in 2006 and 2008 only to face a veto by Republican Governor Schwarzenegger. I'm more than worried about the new Governor Jerry Brown who promised not to increase taxes. However, one needs to increase taxes to pay for the single payer health-care system. In exchange, there are no premiums, deductibles and only a $10 to no co-payment.

Dr. Hsiao will be responsibl­e for designing the three proposals that will fit to Vermont. He also designed the single payer health care system of Taiwan. In case you don't know, the Taiwanese health care system is famous for using the best of all health care systems. The result is the lowest administrative cost in the world (less than 2%) while having a state-of-the-art health care system. It is also one of the most efficient and most comprehens­ive systems. Yes, this guy will design America's second single payer health-car­e system and it will be perfect on day one.

Links:
Health-care system in Taiwan.