Well, to be honest, we all knew it would come to this at some point, didn’t we?  New Jersey Assemblyman Reed Gusciora, a democratic lawmaker from Trenton who is currently a Deputy Majority Leader in the NJ Assembly is proposing that the state of New Jersey operate a health insurance system to compete with private insurance plans.  Gusciora is filing legislation to create a “single-payer” system that he claims would let patients decide which doctors they wanted to use regardless of network affiliations and would be less expensive because “the government has the clout to negotiate better prices.”  Sounds eerily reminiscent of “If you like your doctor, you will be able to keep your doctor, period”, doesn’t it?  Notwithstanding, in view of how effectively and efficiently New Jersey government generally operates (48th in fiscal ranking, and 50th in business climate, etc.), what could possibly go wrong?