i think what obama24 is getting at is actually more or less the green party platform. its basically understanding that we need broad public ownership/"nationalization" of things like healthcare, energy, transportation infrastructure, etc. but also that centralization is not really democratic or responsive to the people. the ideal would be something like howie hawkins' plan for a national health service that is both universal (i.e. everyone is covered in a publicly owned program that eliminates private/corporate healthcare) while still being under local community control rather than some unaccountable federal bureaucracy. the same structure is basically replicated in the green party's ecosocialist green new deal and most of its platform/policy proposals
Something like this, yes. Basically it would be cool if each state was like its own little nation, except in the areas you mention - a high degree of autonomy except in areas that promote the general welfare such as healthcare, energy, transportation, roads, mail, etc.
Environmental policy for instance should be left up to the states, but with some kind of grant system or drawn from a common national fund for said policy. EG, I live in a coastal area. If my state decided to build sea walls, they could. They could fund it themselves, but if that funding proved too costly for the local taxpayer, than they could apply for a grant or fund (which would eventually be paid back) from the federal government.