BTW, this is also radically incorrect - Blue State America is radically different from Western Europe. Notably, California has an incarcertaion rate of 581 per 100,000 while New York has 443. In comparison, the highest two in Western Europe are England/Wales at 148 and Spain at 144 (rest are even lower). Neither of those states has a UHC plan in place. Both are ‘at will’ employment states where a person can be fired for any reason as long as its not a specifically prohibited one.
While there are a good number of tiny countries in Western Europe, the larger countries that are the size of a US state or several states (like Germany, France, or Spain) are capable of meeting their basic functional needs without relying on the good graces of a region they hate. ‘Blue State America’ can’t do this - one big example is that California (especially the densely populated deep blue areas) is dependent on other states for its water supply, and that’s currently handled by an interstate compact. If California arrogantly flips off the nasty red states nearby (or the many ‘red state regions’ that water flows through), those states can cut off the water supply and cause virtually instant disaster for California’s largest population centers.