Frankly, we don't.

Conforming because other countries like it is not a reason.

You don't force people to hand over their money that they earned and that is what you are advocating for.

An easy way to solve the issue would be to return power to the states and have the feds only run military and international relations. Reason being is that people where I live (Tennessee) have different goals and lifestyles than people in California, New York and most everywhere else.

On a personal note, I have family in Canada and, for anything other than general care, they come down here (it's only happened once). The doctors would have been forced to try 2 or 3 different medical procedures before doing what they already knew what needed to be done BECAUSE the government is running it and wants them to do the cheapest options first. So they came down here, had the doctors from Canada fax the files, paid the doctor here and got what they needed done in a week(?) or so after all the prep and stuff... just a personal example of that awesome politician ran healthcare.