Rub a Dub, we actually have very sub-par health care here in the US. Many people have nothing.
Just the health insurance red tape and treatment delays no doubt costs lives. People (in my family and my friends) waiting weeks for appointments, treatments, medicines (what you can get approved by the insurance company - you have to take what they'll allow you, even if your doctor has something better in mind), and the non-stop merry-go-round of being referred to different doctors and waiting weeks between appointments.
We spend a good amount of our health care dollar on bureaucratic red tape. I know several people who spend hours every week managing this for the elderly people in their lives. Hours lost driving to appointments, waiting, being referred elsewhere, etc.
Americans really have very little choice about health care. It's all about big insurance and big pharma. You can't do anything without permission from your insurance company, and you can't do it even a day earlier than approved.
Shortens not only the life of the patient but of the caregivers too. But, statistically, this would be hard to prove.
I just paid a hospital bill I didn't feel I owed (had already paid hundreds in co-pays invoiced over three months) and the provider couldn't even explain what the charge was even about. BUT if I don't pay they can sue me and ruin my credit. It's like being mugged.
Do I sound bitter?
And overall I'm healthy, managing my health in lots of ways that wouldn't ever be covered by that high dollar insurance I pay for each month.