What you (and most Americans) fail to understand is the states are separate entities, more similar to the EU than the provinces of Canada. If California wants

What you (and most Americans) fail to understand is the states are separate entities, more similar to the EU than the provinces of Canada. If California wants to have socialized health care for all it's residents, literally nothing is stopping them. Many states already have 100% government medical insurance for the poor. The reality is, government run systems are an absolute nightmare. Similar to government housing, you only use it if you can't afford the alternative.