Why can't the US get healthcare right? It's too costly and doesn't provide enough coverage, leave 9% + of our population unemployed. If other developed countries can get it right, why can't we?

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It's a really complicated thing to structure because of information asymmetry between payers (patients/insurance) and doctors on that level

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Your forthcoming argument about it being a small country notwithstanding, but I lived in Australia, which has universal, socialized medicine, interacted with the healthcare industry multiple times, and can attest that it is an example of a developed nation with successful universal healthcare. What is interesting abt Australia is that it has a public/private system. The public system is efficient/generous/and produces good care outcomes (why we don't focus more on outcomes in the US is beyond me, but that's a large part of the ACA was all abt). To control costs, the government actually incentivizes people to buy into the private system by offering a lifetime tax credit that expires after the age of 30 if you don't have private health insurance after that point. Use it or loose it. A bit more personal story: I got into a bike accident in Australia and had to receive stitches (the whole thing cost me $400 because Oz only gives universal care to citizens from other countries that have this). A few months ago, I got into another bike accident in SF, got a few stitches, and the whole bill AFTER insurance came out to $1200. The size of our nation isn't the biggest obsticle to the implementation of single payer in the US, but rather market inefficiencies and unequal distribution of economic power between healthcare consumers and providers.

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Universal healthcare (socialized medicine) looks appealing in the short term and unsustainable in the long term . Australia system looks appealing but when you pop the hood it is a mess. Fragmented funding model coupled with informational asymmetry between patients and hc providers creates difficulties in delivering and coordinating patient care. You have significant demographic challenges with a an a ageing population which will increase costs in an environment of fiscal tightening. Funding can't keep up with the rate and pace of health tech which means that over the long term health innovation and quality of care diminishes. Policy makers and elected officials fail to enact policy improvements because they fear the blowback from their constituents (sound familiar?). There are also disparities with healthcare delivery between affluent and less affluent populations. High income earners move to private providers. There system is far from equitable and definitely unsustainable.

In the US, the solution is best left to the states to address and customize according on their states needs with support of federal funding dollars.

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Corrupt political system with legalized bribery creating a system where the opinions of the electorate take a backseat to the demands of the donors.

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We have a massively selfish subset of the population that eats and smokes like shit and thus absorbs the majority of healthcare costs. We're also very spread out - the US is the 3rd largest country around. We also subsidize the world's pharmaceutical costs. We also have ridiculous politicians who cater to their small populations and lobbyists instead of the good of the whole.

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If we just did universal single-payer healthcare like everyone else, wouldn't that work? Genuinely asking as I don't know much about the HC market. I understand there is very little political will to get this done, but what if?

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You can't name one successful country with universal healthcare and universal healthcare actually sucks. Try visiting a doctor in Canada for the common cold or flu and see how aggravated you will get waiting to be treated.

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^ Very well thought out, however Australia has a population of 24mm, according to the World Bank in 2015, and the US has a total of ~330mm. So I still stand behind my statement that the USA is just much bigger. I do agree a smart solution exists tho.

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JPMorgan Chase 2 - Oz is not at a peak. In fact their economy is somewhat stagnating right now. Furthermore, Australia's socialized system has been around since the mid 80s and has weathered numerous recessions. Socialized medicine indeed looks great in the short run, and is an effective way to efficiently distribute health care across an entire population over the long run.

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The nexus of politicians funded by greedy corporate healthcare lobbies is hard to beat unless someone like Bernie walks the talk

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Simply put, we're too big. Germany, Nordic countries, etc get it right because the proportion of people is extremely different- we would have too many drawing on the system and fewer producers.

Please provide an example of a 'developed nation with successful universal healthcare' so we can criticize something specific. Otherwise this conversation will go on forever.

Australia is probably the most admired example, but they are small, have a fairly young population and are at economic peaks. I would say that their healthcare system can't be praised unless it survives the economic downfall that many have predicted. Even in this current economy there have been issues with a steady increase in costs.

Universal healthcare looks great in the short run.

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