Good article in parts showing the disaster of health care schemes in states. And he highlighted a fact liberals and conservatives alike pretend doesn’t exist.. The laws of supply and demand affect healthcare like any other part of the economy. Conservatives have argued to me that adding more supply in terms of doctors, pa’s, nurse physicians etc would not help the situation.
But on the other hand it shows the federalist model of state action won’t work for states at least not like normal programs. Old people, unhealthy and poor would move to the states with government healthcare.. While productive, healthy young people would leave because of confiscatory taxation levels.
If done at the federal level, however, this couldn't happen.
I'm against socialized medicine (I support MSA's). But to point to a state failure as justification is dishonest (for the reasons you gave).
Wiscon's welfare reform worked because it reduced benefits, driving recipients to other states.