The American system is bad but not for the reason Canadians, Europeans, &
leftists think.
The primary feature of the American system is Employer Based Healthcare.
This did not come from the free market but from a world war 2 price control intervention which capped employee wages. As a workaround employers started offering healthcare as part of the wage package. This was then made non taxable.
Eventually healthcare costs started rising as consumers had no incentive to shop price and providers had no incentive to provide cheap healthcare.
Employer based healthcare is also a low grade form of slavery as your access to healthcare is dependent on your employer, “Job Lock.”
This abomination also created the need for the now bankrupt Medicare system as retired people couldn’t afford healthcare.
To really fix the system you have to gut it and start from scratch. The Republicans don’t have the stomach for it, and the Dems want single payer. So, we’re gonna keep trudging along with this piss poor inefficient system.
I agree with the statements above. There is not much will to do away with employer based health care even though it creates exactly the anxiety producing “job lock” discussed above. So we will limp along with trying to prop up Obamacare and keep putting the poorest on Medicaid to plug the holes. Obamacare got our uninsured rate down from about 15 percent to 8 percent which is still embarrassing for a developed nation, the richest nation on the planet.
Here is the political reality:
1. Most Americans remain pretty stuck on their employer based coverage despite all the anxiety and costs involved
2. Republicans have offered ZERO solutions other than grandstanding
3. Democrats are torn between continuing to prop up Obamacare or gutting the whole thing and ushering in Medicare For All (which means government financed BUT NOT government provided care. Note: there is no stomach at all in the US for the government actually providing the care because we are too libertarian and, no matter what we may hear about the UK or Canada, etc., we do not believe our own government would do a good job of that).
So we limp along. But keep in mind we still have the most advanced medicine in the world and, as with social media, the majority of medical advancements come from the US.