The United States is an enormous country comprised of 50 separate state governments, where the powers of the federal government are extremely limited (both by the constitution itself, and by the fact that it is practically impossible to do anything at that kind of scale).
Hold on, if the U.S. is 50 separate governments, each of which have great power (since "the powers of the federal government are extremely limited"), then shouldn't each state be able to pass effective healthcare by itself? Only 2 U.S. states have populations larger than Australia, and none would make it into the top 5 E.U. countries by population.
Talking about solutions that work well in smaller countries is all well and good, but the reality is you need different solutions if you want them to work at scale.
But you just said each state is separate and the federal government has limited power, so why do they need to work at scale larger than anywhere else?
Hold on, if the U.S. is 50 separate governments, each of which have great power (since "the powers of the federal government are extremely limited"), then shouldn't each state be able to pass effective healthcare by itself? Only 2 U.S. states have populations larger than Australia, and none would make it into the top 5 E.U. countries by population.
Talking about solutions that work well in smaller countries is all well and good, but the reality is you need different solutions if you want them to work at scale.
But you just said each state is separate and the federal government has limited power, so why do they need to work at scale larger than anywhere else?