No, it shows that federalism is not yet dead.  That the principle of 50 Petri dishes still holds, that Texas and now Oklahoma can try out this experience, which, as you yourself note, isn&#x27;t ideal in the old government run model, and wasn&#x27;t exactly great in the one time I used it myself.<p>Am I concerned about this?  Yep (we&#x27;ll ignore that I&#x27;m retired by non-workplace disability and living in Missouri, albeit very, very close to Oklahoma).  But I also believe it might become a better system, with, of course, suitable government oversight.<p>ADDED: slapshot pointed out something else in <a href="https:&#x2F;&#x2F;news.ycombinator.com&#x2F;item?id=10394007" rel="nofollow">https:&#x2F;&#x2F;news.ycombinator.com&#x2F;item?id=10394007</a>, this adds another set of players, the plaintiff&#x27;s bar (which is traditionally healthy in Texas) and of course the judicial system they&#x27;re a part of.  No sovereign immunity for the bureaucrats to hide behind.