How do you deal with funding? State taxes can't rise to the same levels at federal income taxes
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Replying to @EfficientAG
you say can't like it's a law of nature; if you wanted to decentralize healthcare you would also want to decentralize the associated taxes
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Replying to @EfficientAG @380kmh
And I mean not just end user costs, I mean total healthcare spend/per person, regardless of payer
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Replying to @EfficientAG
it could cost the same and still be an improvement b/c no national conversations every time you wanna fix this or that part of it
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Replying to @380kmh
The civil rights peeps will scream when red states remove x portions, and the country divides further into 2 realities?
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Replying to @EfficientAG
yes, at first, but ideally divide it into 50 realities
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Replying to @380kmh
What about by metro-mega-region? Not constitutional, but we can all dream...
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Replying to @EfficientAG
yes the ultimate goal is city states, way more than 50 of them
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Replying to @380kmh
You've seen the PLOS ONE map of these? Google "PLOS, megaregions", first link
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yes, I've seen this map around a few times
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