The US Healthcare system never centralized under a single organization like social security, so rather than one efficient single system you have thousands of competing interests mucking up the whole process. Physicians are paid very well in the US, but there’s not enough of them, they are straddled with debts from med school, and they also have to be extremely wary of lawsuits – all things that add to the cost of Healthcare. Consequently, there’s a high demand for expensive treatments which doctors are willing to provide as they would rather over prescribe to avert potential lawsuits. On the other side you have private insurance companies who are driven by profit, which means providing the least amount of care while charging the most that they can.
The list of things goes on and on. The biggest issue IMO is that if you have good insurance or access to Healthcare in the US, we actually do have some of the highest quality in the world. The problem is that this leaves those uninsured completely vulnerable, but they also tend to have less sway politically as well so change is slow.
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