What they do with health care in a generally homogeneous society is significantly different and not replicable in a continental country of some 310 millions composed of every imaginable racial, ethnic and social background. That is why the drive for more centralization in health care in the U.S. is the exact wrong thing to do.
It should be a Sates issue, IN ALL RESPECTS. If Massachusetts wants some form of universal health care run by government fiat, great. If New Hampshire wants NO role for the government in the providing of insurance or health services, that should be the prerogative of the state and it's citizens through its’ elected officials.
People would vote with their feet and reside where they feal they have the best over all quality of life.
The scale is so vastly different as to be incomparable.