I don't know if it's the same way elsewhere. Maybe it is, and it just isn't as widely reported. But the fact remains that we know this to be an issue and we're not campaigning enough to solve it.
The only other issue that I feel is as pervasive is the end of the Fairness Doctrine and the spiral into chaos that ensued.
'Everywhere else' is usually < 30M people which is a totally different ballgame.
Can you imagine an EU level healthcare mandate? It'd be out of control impossible, and yet it works well enough a 'the state level'.
It'd be nice to see some really forward thinking states lead the way and forge a path, if a few caught on and there were material examples of 'how it could be done' then maybe there'd be hope.