Public Health Care - Why not at state level first?

[AzDesertRat]

I think we should clarify something here: Are we talking about preventative health or are we talking the whole kitten caboodle (always want to write that). I think many could make a compelling case for preventative health insurance especially for children, but when it comes to the complete package, state funded health care systems are generally failures due to inefficiencies and other aforementioned reasons. It seems almost better to have the state provide different types of insurance and have the residents pick their plans. With economies of scale, it could provide some savings (which would inevitably be eaten up by bureaucracy and red tape)