A former speechwriter for John Edwards, Hillary Clinton, and Barack Obama, Wendy Button finds herself in a frightening situation: she has no health insurance. How did this happen? Basically, Ms. Button changed zip codes (she moved to Massachusetts). Prescient Massachusetts, you’ll recall (see item immediately below), has already instituted many of the changes included in current Democratic proposals. You’d think Ms. Button would be rejoicing to be in a state with great insurance, a harbinger of things to come for all Americans.

But let Ms. Button explain what happened to her:

In D.C., I had a policy with a national company, an HMO, and surprisingly I was very happy with it. I had a fantastic primary care doctor at Georgetown University Hospital. As a self-employed writer, my premium was $225 a month, plus $10 for a dental discount.

In Massachusetts, the cost for a similar plan is around $550, give or take a few dollars. My risk factors haven’t changed. I didn’t stop writing and become a stunt double. I don’t smoke. I drink a little and every once in a while a little more than I should. I have a Newfoundland dog. I am only 41. There has been no change in the way I live my life except my zip code — to a state with universal health care.

Massachusetts has enacted many of the necessary reforms being talked about in Washington. There is a mandate for all residents to get insurance, a law to prevent insurance companies from denying coverage because of a pre-existing condition, an automatic enrollment requirement, and insurance companies are no longer allowed to cap coverage or drop people when they get sick because they forgot to include a sprained ankle back in 1989 on their application.

Even if the economy was strong and I was working more, I still couldn’t afford my premium. I am not alone; I’ve got 46 million friends in a similar situation. We wake up every day worried that a bad cough, an accident while walking the dog, or that dreaded pain on the right side of the abdomen will send us into complete financial ruin.