tombi123 said:
To reduce land mass and increase efficiency, couldn't you do it state by state? |
Medicaid is a disaster. Also if you made it state by state you run the risk of having a "postcode" lottery. Better hospitals in Ohio then Michigan for example. (though that is the case now it's problematic when state run.)
Then again that is another issue with NHS isn't it... scotlands care isn't as good as Englands.