Public health care similar to socalled "Obamacare" is commonplace in most of Europe, where the costs are lower and quality is higher (citation needed? LMGTFY).
Why would costs rise and quality decrease in the US? Is there something inherently wrong with the US that they can't make this work as well as in Europe.
Does it work well in Europe? Or are they being subsidized by nations like the USA? Even if you don't believe that, isn't Europe currently and rapidly going bankrupt?
World shipping lanes... they work, correct? But why? Is it because how Europe handles them is working? Or, is it because the USA and a tiny few other nations do the bulk of the fighting and funding to keep the shipping lanes open? The world does very little but benefits greatly.
In any case, I don't see our changes to healthcare working over here because they don't address the fundamental problems with our system. In the past we had a pretty good system, and it was 100% private. I don't see the logic in going 180 degrees from a successful period being the way to get back to that period's success.
Also it seems to me that at fundamental problem we have is we use insurance improperly. It used to be something you bought only for emergencies, bills you could not afford to pay. Even when I was a kid, my family paid almost all medical care out of pocket, only using insurance when necessary. Almost any medical services we needed were affordable and competent, and I grew up poor. It was also 100% private.
Then over the years policies were instituted forcing insurance to start paying for nearly everything. I'm not sure how anyone can be surprised that costs skyrocketed and the system became corrupt. We have of course made some amazing improvements in medical knowledge and technology, but in many ways the service level and staff competency is much lower now, and almost nothing is affordable out of pocket any more. Even simple checkups now cost more than what used to be emergencies.
It seems to me we have some fundamental problems: misuse of insurance, massive corruption, legal system abuse and dysfunction, and failed central planning. I don't see any system working until those issues are removed.