Comment by erentz

Yeah, I think this is how it works for example in Australia too. You could conceive of this in the US just as easily, for example Medicaid (not Medicare) is a bit like that, run and jointly financed by the state and federal. But again that's "big government" to these states that want to reject healthcare.

What I would bet too is if you go and poll people on whether they like their "big government" program or what to get rid of it, most people would rather keep it, Medicare is big government I don't see seniors wanting rid of it. Social Security is big government. The military, I don't see anyone in these "small government" states saying they want rid of that.