Well, Americans don't really vote, they prefer the government stay far away (imagine someone in Wyoming viewing a Federal solution kind of like Brussels solving

Well, Americans don't really vote, they prefer the government stay far away (imagine someone in Wyoming viewing a Federal solution kind of like Brussels solving Greece's health care problem), moneyed interests/cartels have a lot of sway, and some groups don't like paying for other groups' healthcare. Local solutions don't really work for medical care, in terms of the legalities and economic structure, you have to require everyone to participate. In this case, size and diversity work against us, it's just a lot easier in a small homogenous Scandinavian country. Anyway, we have Obamacare gradually being implemented, where all employers above a certain size are supposed to offer insurance, and everyone else is supposed to buy it (the 'mandate' which the Supreme Court says is really just a tax). So, maybe a minimum level of health care will start to be universal. But in order to get it through they made sure everyone was well greased. If the doctors, the hospitals, the insurance companies, or the pharmaceutical companies had to tighten belts a notch that would have been enough to sink it. So, it's going to stay very expensive.