I wonder if there would be a way to draw that up. A healthcare system paid for by the states that participate and distributed federally. Treatment only for those from states that participate. Thus still pitting the government against the pharmaceutical companies in terms of fair prices and pushes states to ideally make their own choices which would slowly move towards more and more states choosing to support their people. We would have to be dicks and deny medical attention to people coming from other states. I’m sure there are a million holes to work out, but no one should have any reason to argue with it outside “I don’t want others to get help if I can’t.”