I'm conceding that it might not always be the case. I don't have an answer to your question because I don't feel like doing the research and math to figure out what the top earners would pay in any given state under universal health insurance. It seems to me obvious that it would represent a large tax increase, and that that increase would disproportionately effect top earners. If you have reason to believe it would universally save people money, I'm all ears for a reason or argument.