Seriously, this is not an unsolved problem. The US spends more per capita than the rest of the world but has huge swaths of people denied basic care, and poor o

Seriously, this is not an unsolved problem. The US spends more per capita than the rest of the world but has huge swaths of people denied basic care, and poor outcomes overall for an allegedly developed nation. There are a range of options available - look at any of the varied options successfully implemented by every other developed nation on Earth. Americans may choose to reject them based on ideological grounds, but it's ridiculous to approach this like a problem that has never been tackled. Governments exist to address precisely these problems that require collective action without profit motive. One note on efficiency - something like 30% (yes yes, citation needed) of American health dollars go towards insurance administration. A family member of mine works in Canadian health care and had a recent arrival (a physician, IIRC) from the States ask where the "billing floor" was because an out-of-country patient needed some sort of paperwork done. Well, Canadian hospitals don't have floors dedicated to processing payment. There was a small office. On a second note, having your healthcare connected to your employment situation seems like insanity - I can't fathom anything that would argue in favour of that, unless you're an employer looking for additional leverage over your serfs.