should it btb at a national level or should bit at the state level? i think we can make a compelling argument even directed towards our ideological left that would say it ought to be at the state level. let's suppose, for example, that you were one of those people who want a government funded, run single payer system. you can do it far faster with far more consistently, making it far more true as to what you envision of the ideal of the federal government provider or of a government providing this. if it's not the federal government but a state there are a number of people, for example, within the vermont state legislature that would like to create such a system. the system that would be far easier if the federal government just stayed out of this business altogether. or, at least avoided any further intrusions into the realm of what is within what states control. because of course it's already the unique prerogative of the states to license physicians, to license other health care profigsals including nurses, to license hospitals and clinics, to regu