This is actually the reason why I'm a proponent of the US Federal government doing far _far_ less. Things like Healthcare and other safety net things (along with most other things) should be done at the state level, and the the fact that European nations, which are near universally poorer than all US states, are able to do these things, are the proof that this would work.

I'm convinced that the federal government doing more and more things is the root cause if the increasing toxicity of American politics. The further removed a populace is from their representatives the less control they have and the worse they feel. Everything should always be done at the most local level that it is possible to do it. Some things have to be done at a relatively high level, but Americans have increasingly been jumping straight to "this is a job for the federal government" when very often state, or even city governments in some cases, would be perfectly capable.