I got it! You’re right; America is a big place. It’s hard to conceive of all that mass at once. But is a state too big? I mean, most are much smaller than the largest of the rest of the developed world which has been treating healthcare as a citizen’s right for decades on end, and saving billions in the process. If you do that thing in that one state 50 times over, once for each of the other states, each using their own resources, you have the equivalency of the whole big entire America. Not even kidding. This is legitimate mathematics.
https://en.m.wikipedia.org/wiki/Ratio
https://en.m.wikipedia.org/wiki/Multiplication
I also know how to program computers but that’s for another day.
EDIT: I thought about it some more and realized how big California is. As far as California goes, I think you’re actually right. California is just simply too big. I haven’t worked out an algorithm for it yet. That will require probably a whole city of computer scientists to work that one out.