Re:Study: Immigrants Founded 51% of U.S. Billion-Dollar Star...
by Clubber on Monday March 13, 2017 @10:57PM
(#13864598)
You've accidentally hit on a problem with much of the complexity of laws in the US: states have autonomy on a lot of things. Healthcare is a big one. It's regulated by the states. Insurance companies incorporate by state. Each state has it's own regulations. Some states are gun friendly, some are not. Although our federal government yields a lot of power, constitutionally, it doesn't have as much as its seems.
It's an interesting model. It was more like the EU in it's inception than today in that each state was it's own country under a thin umbrella of federal government. The outcome of the US Civil War changed that significantly, but not enough to have a coherent, omnipotent federal system. (The EU doesn't have one either; each EU country controls most of their own sovereignty). One main difference is US states can't secede from the US while EU countries can.
Another issue is free borders between states. If state A enacts universal healthcare, how does it prevent the sick inhabitants of neighboring states B,C,D,E from emmigrating and bankrupting the state? This model poses all sorts of problems. Even colleges have to deal with this. If you live in the same state as the college for a year, you are considered a permanent resident and get a significant tuition deduction (like 75% less). There are hundreds of examples of where autonomous states with free borders cause administration headaches.
Imagine if the EU decided to have a governing body that took taxes and distributed services, like healthcare, military, infrastructure, etc. It would have to cut out parts of the tax code for Greece and add parts for France, etc. Not only that, but by industry. Then tack on special interest lobbying. It would be a mess. Not only that, what if 1/4 of the countries didn't have universal healthcare?
It's an interesting model. It was more like the EU in it's inception than today in that each state was it's own country under a thin umbrella of federal government. The outcome of the US Civil War changed that significantly, but not enough to have a coherent, omnipotent federal system. (The EU doesn't have one either; each EU country controls most of their own sovereignty). One main difference is US states can't secede from the US while EU countries can.
Another issue is free borders between states. If state A enacts universal healthcare, how does it prevent the sick inhabitants of neighboring states B,C,D,E from emmigrating and bankrupting the state? This model poses all sorts of problems. Even colleges have to deal with this. If you live in the same state as the college for a year, you are considered a permanent resident and get a significant tuition deduction (like 75% less). There are hundreds of examples of where autonomous states with free borders cause administration headaches.
Imagine if the EU decided to have a governing body that took taxes and distributed services, like healthcare, military, infrastructure, etc. It would have to cut out parts of the tax code for Greece and add parts for France, etc. Not only that, but by industry. Then tack on special interest lobbying. It would be a mess. Not only that, what if 1/4 of the countries didn't have universal healthcare?