Let me add a tiny bit of gloom. The healthcare situation is degrading. International context and other factors (big hospitals getting old, trying to reallocate geographical duties, merge/rebalance with other hospitals) are at play. The Healthcare employees are starting to complain a bit too often for it not to be worrying.

About U.S. what saddens me is the natural reflex toward individualism and self responsibility being a better moral value than mutualized health as in France. I wish they could have a more balanced POV on things.