All these words, and not one mention of the fact that the Constitution doesn't authorize ANY federal medical funding. Not one dollar. This is a problem for the states to solve. Clearly the states want to solve it differently. Fine. Let them. They can tax their own citizens as they feel appropriate to pay for it.
That's how our government is supposed to work. It creates a free market in government. Don't like your government? There is no legal restriction on moving to another state, because you're a citizen of all of them. No state can stop you from moving in, no state can stop you from leaving. No franchise possible. Let the best state government compete for citizens.