this post was submitted on 18 Mar 2026
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I am Turkish and have been wondering about this for a while as a political science and international relations masters degree student. Obama served for 8 years and still many Americans are complaining about how bad their healthcare system is and insurance prices are so high etc etc. Then why doesn't any of them fix it. Here in Turkey, our leading party the AKP fixed the healthcare system so nicely that a lot of people from other countries are coming here for plastic surgeries and other healthcare services and the AKP party, as much as I hate to say it, fixed the healthcare system and now they are serving for their 4th term in a row.

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There are a couple things that others haven't pointed out. First, Erdoğan has more power in turkiye than the president has in America (for now).

Second, individual states are not subordinate to the federal government; they have their own powers. Anything not specifically granted to the federal government is controlled at the state level. Healthcare is one of those things. There are some hooks the federal government can use to control parts of healthcare, but not the whole system.

There are some states with much better healthcare systems than others (like Massachusetts). Massachusetts is a fun example because their health care system was established by a Republican governor, and then a watered down version was implemented at the federal level as Obamacare, to the ire of the Republicans.