Among states, California arguably has the most to gain from an overhaul of its healthcare system: it has the greatest number of uninsured residents in the country and the largest public insurance program for the poor, which struggles to serve 6.5 million people while reimbursing doctors at one of the nation's lowest rates, the Associated Press reports. Doctors, patients, politicians, and researchers all agree change is desperately needed, but often disagree on what that change should look like.