[gertlex]

As an American, I'm probably heavily influenced about non-state-by-state discussion in the media and thus ignorant... (and work in tech and don't directly pay for health insurance...) but I don't think I'm aware of significant state-by-state differences in healthcare.

I know California generally has more regulations and has MediCal, but most insurance options I've encountered seem to be multi-state (regional, not necessarily country-wide though). Things like FSA/HSA are nearly the same across all States I think?

I'd assume quality of care varies more by region (likely with some correlation between quality and the to major options health insurance providers) than by state lines.

That all said, I'd be curious to see all 50 states in a healthcare quality ranking combined with the various "peer" (or EU) countries like you propose. I'd probably be surprised by the spread.

[daemonologist]

Medi-Cal is California's implementation of Medicaid, which along with CHIP is always administered by the individual states (though the federal government tries to apply some controls via funding).

That's the only big top-down state-by-state distinction that comes to mind, but there are a lot of small details. We have some models predicting medical outcomes and financials and state is always at or near the top of the SHAPs. Sometimes bigger than age or household income. (I don't study this or anything, just an incidental observation.)

[hollerith]

The organizations that take doctors' licenses away when they misbehave are all state-level organizations (in California, it is called the Board of Medical Quality Assurance) and I can easily imagine that some states perform this function much better than other states.