My 2 sats.

Perverse incentives and policy potential role? It’s interesting to get health insurance internationally. I travel to USA for work at times so had to look at insurance. Every company has international policies or international + USA. It doubles every policy. When researching, I then looked at amount spent from public purse in different countries and USA spends a bloody fortune. That suggests corrupt policy. I actually have a united policy. I’d never heard of them before. So then I looked at stock chart. A parabolic rise after the passing of the “(un)Affordable care act”. I often find it funny to talk to Americans and call Obamacare a republican policy. If the main act policy elements reflect a heritage foundation counter proposal to Hillary care (check the history), then it’s a policy from a republican think tank.

Conclusion for me: health care in USA is screwed due to perverse incentives at the top, and profiteering. Both political parties (or uniparty if you prefer) are guilty of creating the mess. USA has a simple advantage here. It’s big and it’s got well established state legislatures. Get rid of federal health care legislation and pass it down to the state level to re-assert market forces.