Poor states are going to need some money from some place to care for their impecunious uninsured sicks. That's the bottom line Mitt.
I don't see why that is necessarily the case. The poorest state in the US(Mississippi) has a GDP per capita comparable to that of South Korea and Israel, which both manage to fund their healthcare without any outside assistance.
Somehow I don't think that would translate well to the States. There are just so many variables in play. For example, to start off, Mississippi is full of sedentary fats.
Quit subsidizing unhealthy food then, for starters. Of course, that won't happen, considering the fatty food's industry's stranglehold on this aspect of public health policy.