> The US remains moderately accessible, most of its peers are the exact opposite. I agree completely. But that's good and practically necessary for the US, si

> The US remains moderately accessible, most of its peers are the exact opposite. I agree completely. But that's good and practically necessary for the US, since it is highly reliant on immigrants at all levels of skill for their labor. Immigration even underpins the basic functioning of the healthcare system, and not just for doctors and nurses. Cleaning hospitals is a critical job for the healthcare system, and janitorial workers are 20% Latino. However, that doesn't mean there isn't plenty that can be learned from the administration of healthcare systems elsewhere. Germany, like the US, has a market based health insurance system organized through employers, but unlike the US, carrying insurance is required by law [1]. Furthermore, Germany has universal public coverage for medically necessary care, and controls the price of prescription drugs [2]. That doesn't make Germany's system perfect by a long shot, but it manages to achieve a much lower healthcare spend as a percentage of GDP while maintaining universal coverage for basic healthcare and even offering patients longer average hospital stays than the US does. 1. https://sites.gsu.edu/gsuglobalhealth/2021/02/15/competition-of-the-21st-century-united-states-vs-germany-which-healthcare-system-is-superior/#:~:text=The%20benefits%20of%20the%20German,for%20switching%20from%20public%20to https://sites.gsu.edu/gsuglobalhealth/2021/02/15/competition... 2. https://www.commonwealthfund.org/publications/issue-briefs/2020/jan/drug-price-moderation-germany-lessons-us-reform-efforts https://www.commonwealthfund.org/publications/issue-briefs/2...