Fifty states, fifty social experiments, fifty sets of rules. Remember, there's representatives and congressmen... If a few big states say "We want this" and all the little states say "No", it doesn't pass on one side. If a lot of little states say "We want this" and the big states say "No", it doesn't pass on the other side.
Each state is designed to allow a different way of life. All are treated as equally valid even if they don't have so much population. This allows people to move freely, choose the life they want, instead of being tyrranized by the majority.
The Alaskan way of life is simply being treated as though it's equally valid as the New York way of life. Are you saying it isn't?
A way of life doesn't have children. A way of life doesn't have a brain, or a personality. A way of life is just an abstract concept with no physical representation or conscious existence.
If we change a few arbitrary lines, Alaska or New York cease to exist. But no matter how we change the lines, there's still a total of 20,187,915 people involved. If 19,400,000+ of them want socialized medicine, and 700,000ish of them don't, why should we consider the two arguments deserving of equal (or nearly-equal) support?
Granted, a "way of life" is an emergent property of the behavior of many people. We must protect the right of people to express individualism and their cultural uniqueness wherever that expression does not limit the rights of others. As it stands, conservative, rural people have an unfair ability to curtail the rights of a much larger set of much more liberal people.