Universal healthcare doesn't necessarily lower costs - countries that have universal healthcare also tend to pay less for healthcare. Correlation does not equal

Universal healthcare doesn't necessarily lower costs - countries that have universal healthcare also tend to pay less for healthcare. Correlation does not equal causation, especially since the arrow arguably goes in the other direction here - in other words, the US would have universal health care if our costs were in line with other first world countries. If that second possibility is the case, implementing universal healthcare in the US might be ruinously expensive... As for better outcomes, I think that depends on how you define "better" - if I'm remembering correctly the US is still at the top for "healthcare outcomes of the rich and powerful". That's a different criteria, and probably the one most important to the people with the ability to cause change - namely, the rich and powerful!