On social media, support for Mr Mangione has often been accompanied by grievances and complaints with the health insurance sector.

Newsom’s office said the state maintains the world’s fifth largest economy and ranks first in new business starts and private sector jobs.

Meanwhile, help has been provided by the private sector.

The London Assembly described the sector as "unsafe and unregulated".

Environment minister Emma Hardy said stopping their use was "an important step in supporting the long-term health of our environment and waterways, and our farming sector".