> The problem with the U.S. and why universal health care potentially wouldn't work is in terms of scale. The U.S. has over 300M people living in it, over 8x as much as the most populous European country. We also have a history of hating and evading taxes at all costs (Boston Tea Party).

So, set some very basic standards at the federal level and make the details and implementation a state responsibility. The largest US state is significantly smaller than the largest European country that provides universal healthcare, so that should solve that problem more than completely.