Seems like something the “greatest” or “richest” country should be able to figure out.

Are you suggesting the culture of rural Japan is the same one-size-fits-all as Tokyo? Or that Melbourne and inner-Australia are culturally the same?

As soon as we figure out how calling yourself some superlative and speaking of your exceptionalism makes things happen, it probably will, yes.

> Are you suggesting the culture of rural Japan is the same one-size-fits-all as Tokyo?

Much, much, much, much more so than that of San Francisco vs rural Montana, yes. Is this really controversial?

The US culture is so fragmented that it matters what state you're in for plenty of things regarding taxes, laws, employment etc. That's unheard of in European countries.

Then compare USA and EU. I would argue EU is even more diverse (former east block countries, and western etc. or areas like Guayana in Overseas France on South America)

And they figured this out by putting different authority on different levels.

There is no EU-wide health system of any kind. The EU is much less integrated as the US, it's really not close to being the "United States of Europe", even though many are pushing towards that direction.

> And they figured this out by putting different authority on different levels.

As have the US, apparently. Each state does what its inhabitants want to do and pay for. The argument is that because European countries have federal systems, so should the US. If you now compare the US to the EU, then there is no federal level health care system in the EU, only at what would be the state level when compared in that way.

As in "there are public health care system in the EU", but that's not because of "the EU" but because of the nations making up the EU using similar approaches in that regard. It's not that we all had some random thing going and then the EU decided in 2004 that we should all do a public system when Eastern European countries joined.

Please don't change history here. There is no EU-level health care system, the EU has not created public health care systems in member states and European countries do have varying approaches to health care, with more and less concentration on state-run programs.

And yes, there is quite some freedom, as British didn't want to replace the NHS, while Germany wants to keep their complex system, with private and public insurances and the assistance for state servants and all that ...

Four instances of the word “much” with zero instances of any evidence to back up the claim. Meanwhile, plenty of people move to Montana from California.

In Italy, for example, Sicily is very different culturally from Turino. You haven’t proved that US differences are larger, you just claimed it had to be and moved on.

==That's unheard of in European countries.==

Until you get to the section on Germany. A country with 16 states and strong Federalism built into their constitution. Belgium has 3 official languages. Your view seems pretty US-centric.

I suppose that universal health care will work for diverse populations because once that is introduced to the population the benefit should be clear, and that really the only thing that should be required for universal health care to work for diverse populations is that they be human - hence my reference to mortality.

I believed this chain of thought would be clear, unfortunately I was mistaken.

Do you see how it might be a thing that different cultures approach differently?

Is this perhaps some sort of code for people of one ethnicity do not want to pay for people of another ethnicity? That seems to argue that because a political strategy of fostering ethnic hatred worked to shut down social programs then social programs do not work because different ethnic groups hate each other. Which is sort of like me saying because I scored a goal in the game you can see how trying to keep me from scoring goals is not going to work - might as well go home now and leave me the trophy.

I'm not sure where this tangent is going, but in U.S. many of us feel like total federal government control of healthcare would lead to bad outcomes in the long run, whether that's from deteriorating investment in new technology or through lack of local accountability or through rationing and extended wait times.

Americans are nothing if not impatient. The wait times I hear of for even routine surgeries like tonsil removal in Israel and UK blow my mind, as an American. I would not expect to wait more than a week or two for something like that in the U.S. but have heard it can take a year or more to get an appointment in those countries.