if you want nationalized health care (of some sort)

why wouldn't you want it to be tried at the state level instead?

First, you would expect states to be more attuned to the needs in their state; more flexibility, more knowledge, etc. These are good things, yes?

Isn't health care far too important to expose it a single, risky experiment undertaken-- by the federal government (of all things)?

If they mess it up (and I know that's difficult to believe when it comes to describing the efforts of the federal government), how would you fix that problem?

Wouldn't it be better to have the states try 50 different ways to deal with this complex and amazingly important problem?