One thing about national health care in the States is it's never national. States rights basically mean one of fifty can effectively do as they please and some are sure to follow. Do you have states rights when it comes to the military budget? More populated states with greater resources can screw it up for the rest. This isn't just a sales tax issue, basic health care should be a fundamental right for each citizen and should not be hijacked by the few insurance companies threatening to pull out of this or that state. Monopolies are no friend of the people and when it comes to health care they play the undivided at will. It's potential corruption times 50.