I think that you're not looking closely enough at the underlying issues of these systems if your only metric is people don't go broke from a snake bite, or more

I think that you're not looking closely enough at the underlying issues of these systems if your only metric is people don't go broke from a snake bite, or more broadly, they don't pay immediate upfront costs for their healthcare, even though a whole lot of these places do have upfront costs as well. The healthcare industry has a lot of working parts, all of which require scrutiny, even in these mythical places of which you aspire American healthcare to look like. There's genuinely negative outcomes as a result of the policy decisions everywhere, too.