People call it "dysfunctional" because they conflate the "insurance industry" with the "healthcare indsutry". What exists in the American private sector is not,

People call it "dysfunctional" because they conflate the "insurance industry" with the "healthcare indsutry". What exists in the American private sector is not, by any means, a healthcare industry. It is merely an insurance industry. By insurance industry standards, it functions well. By healthcare standards, it's terrifically broken.