You have hit upon the very reason that the left wants NATIONAL socialist healthcare, instead of the actual Constitutional way of doing it at the state level.
The founders knew that the individual states would be the laboratories for various experiments, such as this. And, if it succeeded, that state would gain a huge boon that would be copied by the other states to the benefit of all.
However, if it was a huge loser like socialist healthcare will be, no one else will copy it, and that state would likely lose its productive citizens.
When socialist healthcare is nationalized, there’s no “escaping” it.
Sure, that's why one of the biggest accomplishments of the GOP congress (remember that?) in the mid-'90s was DE-nationalizing welfare to a large extent by allowing the states to "experiment" with welfare reform however they chose (given certain objectives which they were charged with meeting within a certain time).