Earlier quoted context omitted.
That’s due to being a federation. The US is not the only federation; Australia, for example, is one too, and just like the US, in Australia public health is primarily a state responsibility, the federal government provides most of the funding but the states own the public hospitals and control most of the operational decisions. Yet I never heard any Australian compare foreign countries to Australian states. Other fed…
Going from Idaho to New York is about the same shock as going from Idaho to Australia. The people who make this comparison are the ones who have actually been to many different American states instead of just reading about them on Reddit.
But there are even bigger differences between Indian states. All American states share a common majority language (English). By contrast, in India, different states speak different languages, even completely unrelated ones (Indo-European vs Dravidian). Yet I've never heard an Indian compare countries to Indian states.
There is also a fair amount of diversity within Australia, even within the same state. Sydney is a buzzing worldly metropolis of over 5 million people, at the capital of the state of New South Wales. 1187 km northwest, but still in New South Wales, is the tiny town of Tibooburra, population 134, which I actually visited once with my parents when I was a teenager in the 1990s. I think the difference between Tibooburra and Sydney is at least as big as the difference between Idaho and New York.