Today the Maryland Public Policy Institute and the Atlantic Institute for Market Studies (AIMS) -- a Canadian free market think tank -- released a report authored by Ian Munro and me regarding how a single-payer system would affect Maryland. There have been a few bills introduced in the Maryland General Assembly to introduce a statewide single-payer system. I analyze these proposals and find that they would result in a much higher tax burden on Marylanders. Ian Munro brings a Canadian perspective on what a state single-payer system would mean in terms of reduced care.