Gotta love the Federalist style of government. The market always gets the last say when people vote with their actions. Imagine if we had 50 different healthcare models to choose from, or push our own states to adopt.
But then, this "let's tie us all to the same railroad track" approach to everything is fun too, right?
Ehyeh asher ehyeh.
"You and I are told we must choose between a left or right, but I suggest there is no such thing as a left or right. There is only an up or down. Up to man's age-old dream – the maximum of individual freedom consistent with order – or down to the ant heap of totalitarianism." -Ronald Reagan