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The death of single-payer in the nation's most populous state deals a major blow to similar campaigns elsewhere in the nation.
Together, the unions have made hundreds of thousands of dollars in political contributions, funded anti-recall ads and phone-banked to defend Newsom.
Gov. Newsom gave the insurer a $15 million, no-bid contract to run vaccination efforts. State and local lawmakers are calling it a waste of taxpayer money.
Governor Newsom's $47 billion health care agenda, fueled by a once-booming economy, has taken a back seat.