Does health care scale? For that matter, does government in general scale? Germany (according to Wolfram Alpha) has the largest population in Europe, at 82 million people. America has 300 million. And Germany is much, much more dense, at 613 people per square mile vs our 86 people per square mile. Wouldn't that make it much easier for fewer hospitals to care for more people?
I have concerns that the amount of beaurocracy neccesary to manage a nationalized health care system here in the US would be staggering. I'm not involved in the field in any way, so I don't _really_ know what I'm talking about, but the engineer in me looks at a system that complex and lets out a curse word beneath my breath.
This also applies to almost everything else the federal government does. I feel like we'd have been much better off staying a loose confederation of states. They're small enough to be able to pull off something like this.