[lotsofpulp]

Because the “you” is not a single unit.

Due to freedom of movement around the US, population wide benefits such as healthcare, housing, and in some ways, education, require federal level solutions.

Otherwise, someone is going to end up being the sucker that foots the (giant) bill for everyone else.

On the federal level, there is quite a bit of gridlock, so what we have is an intractable problem at the non federal level where it is every man/neighborhood/city/county/state/hospital for themselves.