I'm no expert on healthcare, and my view may be biased because I live in a huge city. My mom is a nurse in the ER at the biggest trauma center in Texas, and I myself have visited several times. The American healthcare system is built around health insurance. For certain unhealthy individuals, this insurance can become quite pricy, just like auto insurance. The one difference I have learned about is the wait associated with receiving healthcare. I'm not sure of statistics, but across the pond, people have to wait a lot more than in the US for non-emergency injuries. In America, receiving treatment is virtually automatic. I'm OK with it the way it is. For lower income individuals, there are different ways to pay that take a lot off of the price. Again, my perception may be clouded.