And scale I think is only part of the issue. The problem of scale is compounded with 50 different states, all with their own laws, unique geography, and demogra

And scale I think is only part of the issue. The problem of scale is compounded with 50 different states, all with their own laws, unique geography, and demographics. Then add to that the very high levels of diversity in the U.S. population. There is a diversity of races, religions, and income that doesn't exist in most of these other countries that have been able to implement universal healthcare. (For example, the U.K. is something like 86% white.)