Also… As a Brit I can buy full worldwide travellers medical insurance that includes USA, even includes cancer treatment and terminal prognosis and it costs about £200 / year.

But a US citizen in the wrong state is denied care, because the doctor isn’t licensed?

Huh?

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Well, it's more that the insurance won't cover it, and thus costs an insane amount of money out of pocket, so they get care but go bankrupt, so it puts pressure on doctors to get expensive licenses.