Health Care Reform

Here is how I thought things worked in the US. You know, the 10th Admendment-"The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people."

Massachusetts has Universal Health Care. They, like the Dutch, basically made it mandatory for people to have health insurance. What is wrong with state by state health insurance? Why does there have to be a national plan. Don't things work better with more localized control?

http://www.usatoday.com/news/nation/2009-07-22-masshealth_N.htm?csp=34