>You FIRST have to fix the system before you open up the floodgates.

I don't see any reason to fix the system on a nationwide level. Let the individual states figure it out. There's things that the top 5 US states for healthcare have in common, and there's things that the bottom 5 US states have in common [0]. They know how to talk to each other if they want to know more.

[0]https://www.commonwealthfund.org/publications/scorecard/2025...