Much of the right/left divide proceeds from different views of whether centralization makes positive reform more, or less, possible.
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Not really. Germany and Canada operate public health at the provincial level. If scale was the clarifying issue, there would only be mom’s grocery store, not Walmart, Bill’s oil well not Exxon Mobil, and Bob’s community bank, not Goldman Sachs.
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But Walmart, Exxon Mobil, & Goldman have competitors.
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