Seeing how states often want to apply their rights (denying marriage equality, outlawing abortion, etc.) I don't trust them more than the Feds.
What's interesting about the current "health care reform" taking place is that there doesn't seem to be any discussion of how to actually decrease costs other than denying coverage.
There's a fundamental problem - the medical industry has made all kinds of decisions based on the assumption of high cost - doctors take on $300,000+ student debt, hospitals have built huge new facilities, and pharma has poured billions into R&D on the assumption of high cost. Rolling it back now will be difficult and will surely screw over some group of people, whether it's the elderly, doctors, nurses, hospital administrators, or hospital owners (which, due to 401(k)s, is you and me).
What's interesting about the current "health care reform" taking place is that there doesn't seem to be any discussion of how to actually decrease costs other than denying coverage.