There is no “state’s rights” issue.
Individual citizens in a free state can not be told who to treat, how to practice, from whom they may receive medical care, nor the prices to be paid. Free people make these decisions for themselves and use their own funds to pay. The extent of the state’s role if at all might be reasonable licensing standards. Government involvement in medical practice violates the fundamental rights of every citizen. There is no rational ground for single payer, for any Government mandated or funded medical care laws or regulations. The reason health insurance costs $15,000 per year per family is because of government and other third party intrusion into medical practice. Government involvement always increases costs and if Vermont has to pay its own way it will face bankruptcy quickly with their delusional plans. Citizens who think it is or should be within the power of the state to coerce citizen behavior as to non criminal matters as important as medicine, need psychiatric help, which they should obtain and pay for themselves. Shop wisely.
What’s the smallest unit of government?