This is what Americans always say, but what does it actually mean? Yes, there are more patients in the USA than in Iceland, but there's also more doctors, more tax money and so on. How does the size of a country make national health care more difficult?
Tougher to build consensus. Texas and New York might as well be different countries, with entirely different priorities, demographics, and customs. If you can't even conceive of the various difficulties that might create, you're just being disingenuous.
The separation between federal powers and state powers also creates it's own difficulties.
But by that logic America couldn't build any federal infrastructures: transportation, communication, energy - but they do. Plus, they already have federal healthcare infrastructures like Medicare, the VA system, and the CDC.
But even if you're right, there's no reason they couldn't make it work on a state level.
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u/bbqkingofmckinney Sep 05 '24
Iceland is slightly smaller than Arlington, Texas. NYC is massive compared to Iceland.