The health care problem in America is not what is being said in most discussions. There are actually 6 problems, 1 big, 2 little, 2 unsolveable, 1 crazy, and 1 hidden.
The big problem is that the government spends at least about 1 in 2 health care dollars, and the prices are going up..so the government is going to have a money problem around health care real soon here. If we don't cap the $ spent by the government on health care, we're all up a creek.
The first little problem is that in healthcare, there are no real incentives to cut costs. The consumer, the provider, the payer, and the decider are all different people, which makes things bad. In addition, costs are hidden further by the fact that most Americans with insurance have the insurance paid by their employer (not seeing the full cost of the insurance), insurance regulations which don't allow (real) competition on which services are covered, and huge tax advantages for employer-provided insurance.
The second little problem is that in America, 50% of healthcare spending occurs in the last 6 months of a person's life. A big portion of our cost vs. other countries costs is sitting right here.
Unsolveable problem #1 is that the supply of medical care is massively restricted in the US. In some other countries, there are Bachelors' of Medicine who can do simple stuff like give shots, draw blood for tests, etc. There are not huge scary FDA "effectiveness trials" which insanely increase the price of drugs (well, and they piggyback off the drugs developed by relying on US profits).
Unsolveable problem #2 is that new medical procedures, which sometimes work better, are often more expensive. Basically, all older care is dropping in price, just like all other products...but there's so much new stuff....
The crazy problem is that no one actually knows what works/is cost effective. It's well known in medicine that about 50% of all medical spending has no discernable impact at all.
The hidden problem is that it remains important to get new procedures and drugs, so as to continue (despite not knowing which ones work, some do) getting healthier.
Data comparison:
We were so poor that we thought new clothes meant someone had died.