> [...] it's probably easier to provision a [...] network of health care providers [among Germany's 16 Bundeslaender] than [...] across all 50 states. Maybe. S

> [...] it's probably easier to provision a [...] network of health care providers [among Germany's 16 Bundeslaender] than [...] across all 50 states. Maybe. Slightly. Not really a challenge in the computer age. Also the last paragraph of my comment above still applies.