[MarMema]

Yes, I have often wished the feds would just turn it all over to those at the top in GHC, and let them set it up and run it. State by state.

It would truly be awesome.

Thanks for your posts here. I understand the concern of the feds running healthcare, but this is the perfect answer - let the consumers run it at the state level.

[Drango]

State and regional make sense to me. State boundaries can be an artificial construct..For example a north-west effort with Oregon, Washington, Idaho MAY make sense, or not. Let a regional effort be in play.