If the Federal Government does not do it, who Will?
The brilliance of those who founded this Republic was obvious. They gave the national government very limited powers and gave the power to do virtually anything they desired to the states. They did this knowing that, if an individual state exercised too much control — taxes too high, regulations too oppressive — people would be free to leave to find a place with more liberties. This freedom to "vote with their feet" would keep the state governments in check and give the American people the ability to find the type of government that met their needs.
In addition, giving states such enormous powers would lead to a competitive environment in developing the best approaches to solve policy problems. Instead of the national government making the foolish mistake of trying to solve a major national problem and creating an environment where it is too costly for the states to develop innovation, the founders intended for each state to solve problems through competition and the best innovations would eventually rise to the surface. Virtually all states use the same standard procedures in a plethora of areas. They were developed by witnessing the work of other states, not through the coercion of the federal government.
The founders of this country understood that the federal government was no place to address policies like health care because the issues surrounding it would be too complicated and the costs too high. They delegated that to the states and, over time, the innovators would eventually rise to the top. To date, the states have had no success in solving the health care situation, so it is laughable that the federal government would try to replicate failed policies in Massachusetts on a national level. Remember, the federal system our republic is built on intended for issues like this to be addressed exclusively by the states and not the federal government. Without exception, states like California, Oregon, Massachusetts, and Hawaii have attempted major healch care programs and they have all been complete failures. Hawaii's socialized health care program almost put the entire state into bankruptcy and had to be discontinued in seven months.
The states are the best place for solving policy problems. They have limited amount of dollars because they do not have the power to print currency (meanwhile, the federal government had that power but few others and few reasons to print its "funny money"). This would make a certain level of frugality essential in solving policy problems. Furthermore, having problems solved on a state level allows the mistakes in the problem of doing such isolated, rather than becoming a national disaster. Again, those who created our Republic were brilliant and we need their wisdom now more than ever.