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I don’t really know how we’d get there, but the US would be better structured as an EU of regions, IMO. The states are too small, but we’ve got regions with definite noticeable cultural differences (Northeast vs Southeast, etc etc). These areas have more similar values than the country as a whole, and are big enough to handle 99% of their issues. Like, we should not have done the ACA, just merged all the various already successful Northeastern healthcare systems. Then the South could decide to copy it if they wanted, after they saw it working. Or not. What can you do? Trying to impose it seems to have drastically backfired.
Since these regional governments would be picked from the inside, hopefully there wouldn’t be as much of a contrarian reflex to oppose everything they do.