Now, Massachusets has mandated that all of its citizens get health insurance. Required that everyone get their own insurance, instead of giving them state insurance. This isn't just an issue of rhetoric, though - in effect, they've just enacted a new tax, and one that isn't progressive. It would be much better if they just integrated that with all the other taxes people had to pay, so that then they could control for things like poverty.
I have no problem with states 'leading the way' in enacting progressive reforms. But if they're going to become an example for both the left and the right, it would help if they coordinated with national policymakers and thought their approaches through beforehand.
[On edit: the previous statement should not be construed as implying that the national policymakers have any idea what they're doing either.]