Bloody Brian Burke
#1 CFL Fan!
These problems you just laid out are pretty much dream-land compared to what you've got right now.Because we generally can't get our shit together on things like that. I'm massively over-simplifying, but that just presents way too many logistical challenges to do without the federal government being involved.
How are states like Mississippi (poorest state in the nation) supposed to pay for it without federal funding? What if (using my own geography as an example), SC says no but NC says yes - what do you do then with huge number of people who go back and forth between Charlotte and the SC suburbs? What do you do when someone is traveling and ends up in a state with different rules? Is NC on the hook for paying for an SC resident who ends up in a Charlotte ER? Who pays the hospital, if not?