From outside the US really looks childish regarding the medical industry. In a life time most humans require a bit of medical intervention in the first 10 years then not much for the next 50 years then more and more as we enter our geriatric years. I am sure some smart yankee insurance salesman came up with a great product differentiation concept. Lets separate the market and supply insurance to the healthy 10-60 year olds at cheaper rates. Cool the execs say, its cheaper for the customer and low risk to us, beauty lets run with it. So it goes ahead, but now child and old age care is far more expensive, since the healthy are not contributing. Insurance premiums rise, doctors fees rise, so premiums go up so doctors fees rise, so premiums go up so doctors fees rise, etc etc a terrible spiral of rising costs. This leads to a society of "haves and have nots", this is dangerous because it leads to civil disobedience, and if taken far enough civil war.
The duty of a government is to gather taxes to protect and support its people. That means health, education, shelter, defense, transport and communications infrastructure. I see the US government, has reneged on most of its duty of care handing over to the "greed is good" private lobby. This ultimately will lead to failure.
From the figures Australia has a system which has better outcomes at half the price the US are paying. We have a system where you can buy private health insurance which gives you some advantages like choice of doctor and jump ques in the public system. But it also has a public sector paid through tax.
On the weekend I was suffering strong chest pains. I rocked up to the public hospital before the sports injury rush, was immediately attended to, had ECG, Chest xrays then angiogram in MRI machine, advised and given medication. I was released eight hours later, and it didn't cost a cent. (Well not quite the oxycodone pain killers cost $5)
Can you do that in America, if you don't have insurance?
BTW I heard in china they seem to have a unique type of system where doctors actually bid for the patient in a kind of auction.
Cheers