I agree, but isn’t this federalism? Didn’t TN and VT attempt universal state healthcare?
Repeal Obamacare, Medicare, Medicaid and leave healthcare to the states.
Vermont certainly tried, and here is how the NY Times reported the results:
"But Mr. Shumlin and his advisers concluded the plan would require “enormous” new taxes, including an 11.5 percent payroll tax on all Vermont businesses and a sliding-scale income tax of up to 9.5 percent. In all, he said when he announced that he was shelving it, the plan would require about $2.5 billion in additional revenue in its first year, in a state that raises only about $2.7 billion in taxes annually."
https://www.nytimes.com/2015/06/05/us/in-vermont-frustrations-mount-over-affordable-care-act.html