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Makes no sense. The EU has a larger and far more diverse population than the US, and yet has universal healthcare and demonstrated exactly how to handle it if you're so diverse:

Just set up multiple systems. The US even has very convenient boundaries to split up the systems along: States, just like the EU.

Even most countries with universal healthcare further subdivides their systems. E.g. Norway (5 million people) operates regional health trusts that are largely independent. The UK (60 million) does the same on a larger scale (more trusts) and leverages the number of trusts to improve management of individual trusts by occasionally having successful trust take over the running of trusts where management is failing.

The "size" argument is almost always a total red herring.



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