> Can you give an example of an existing state or federal government agency which is consumer facing and well functioning?
National Parks Service. All of my interactions with its employees and facilities have been pleasant and efficient.
Furthermore, there's no need to have a healthcare system administered at the national level. Even a "micro-country" like Canada has provincial level systems. The population of Ontario, the largest province, is between Pennsylvania and New York. The population of Newfoundland and Labrador, the 2nd smallest province, is similar to that of Wyoming. The federal government only specifies standards and inter-operability. That model is probably a better fit for the US than a literal "Medicare for all".
National Parks Service. All of my interactions with its employees and facilities have been pleasant and efficient.
Furthermore, there's no need to have a healthcare system administered at the national level. Even a "micro-country" like Canada has provincial level systems. The population of Ontario, the largest province, is between Pennsylvania and New York. The population of Newfoundland and Labrador, the 2nd smallest province, is similar to that of Wyoming. The federal government only specifies standards and inter-operability. That model is probably a better fit for the US than a literal "Medicare for all".