I’ve written: Who better to understand the health care challenges of a community than local delivery organizations? Recent research by Richard Florida et al. reveals that “States with large concentrations of working class jobs had lower levels of income, GDP per capita, and well-being – pretty much everything across the board.”
Most important to health care delivery is the well-being aspect; both physical health and healthy behavior were negatively correlated in states with a large share of working class jobs. So again, if so much of health care is based locally, why are we trying to solve its problems nationally?