No US state has more than 40 million people...

State is not a country and European countries are not states...their federal governments handle their healthcare and etc.

That's my point the US's federal government would be handling free healthcare directly or indirectly thru the states. As well the amount of money Americans would have in their pockets would be a lot less and that's not after over 300 years are what we are use to. Recent election shows the majority does not want change in many regards.

Recent elections show that capital interests are able to spend unlimited amounts of money buying political influence to prevent a pro-working-class candidate from ever touching any true levers of power.