Each one of your "states" is the area, GDP and population size of separate countries in other parts of the world - likewise with own governments - including Health Departments, armies, state police , et cetera.
#Texas is EIGHTH LARGEST ECONOMY IN THE WORLD!
https://comptroller.texas.gov/economy/fiscal-notes/economics/2024/big-map/
If smaller countries can handle disease outbreaks, so can your states, particularly Texas, without another cancerous #bureaucracy above them.