Let me ask you this question. I voting in Florida (mailing address live here for over half a year) population of ~19 million have a 2 senators and 29 Representatives(you only get to vote for one of these) in Washington.
So going by Bing you have a population of ~23 million that would give you 2 Senators and (edit)35(7) Representatives. How much would you trust these (edit)37(9) people and a president to accurately represent you?
The Florida Senate alone has 40 members. The House of of Representatives has 140.
Do you think there is more or less chance of corruption if your government was limited to that 39 people from what you actually have.
Personally I think it is much more likely my State representatives is more likely to represent the views of the people who elect them. Not some lawyer, corporation or political action committee.
Funny thing about foreign tourism personally I could care less. Funnier thing every Australian I meet on the road seems fairly thoughtless. Don't think all Australians are. But that would make sense from what you say only the ignorant Australians would come to America. Again I could care less. Am I pissing away free money probably. But your concerns about tourism affect how I vote not in the slightest.
T2M
Edit: About tourism.
http://www.forbes.com/2008/05/25/health ... rcing.html
Daryl wrote:T2M your comment about the US Federal Government shows up the contrast between the US and other developed countries. We want to have an effective national system that does stuff, where as your country appears to be defensive about the government having too much control.
Back to the medical situation, it is interesting that travel medical insurance has varying charges. For we Australians it is quite cheap if we are going to Western Europe and the UK, expensive in the second and third worlds, and very expensive in the US. Is this due to the greed of the medical fraternity, the lawyers regarding malpractice suing, or the inefficiency of your system? Whatever it does inhibit tourism, in that you can get a year's multi trip coverage for $X without the US but $X + $lots if you include the US.