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One might argue if this is related to scale.

'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.

Well, India's trying, maybe take a look there?

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