North america is rather insular. I live in canada. We basically only compare our health system to the us. And americans, if they compare to anyone at all, reall

North america is rather insular. I live in canada. We basically only compare our health system to the us. And americans, if they compare to anyone at all, really only look at us or the uk. and we both have a version of medicare for all effectively. I reckon the bulk of americans would be surprised to learn that europe does not have medicare for all as their solution or that the private sector has a substantial role. A substantial amount of america’s dysfunction is due to entrenched tax code provisions (health insurance not being a taxable benefit, mortgage interest deduction, govt mortgage market insurance backstops, etc), and this is mostly invisible as the discourse focusses on government spending only.