You can also make the taxes progressive, so wealthier pay more. I'm also not sure if this looks at total costs or only premiums. People don't go bankrupt or have surprise bills [1] for medical reasons in other countries the way they do here.

[1]: https://www.marketwatch.com/story/1-in-5-americans-get-hit-w...

While that may be true, its also true that people from all over the world come and pay airfare, stay, and tens of thousands of dollars to get procedures done here.

For example, Canadians going to https://surgerycenterok.com/

Here is another fact. The above has had transparency in prices since it was founded in 1990

Guess what also has not changed: the price that they charge for every single procedure since they were founded. In fact they technically charge less now because some procedures include additional services that were originally not part of the package.

So why is it that 1 clinic does not need to change pricing in 30 years, while everything else is increasing at 5-10% per year?

Hint: you dont have to throw away the baby with the bathwater. Its possible to have a system that is not going to bankrupt you and also at the same time not make you wait for 3 years for something you need today

In the US, you're already covered if you're low income, through Medicaid and ACA subsidies, that's part of where the current taxes go. It's certainly debatable if the existing programs are optimally structured.

> In the US, you're already covered if you're low income, through Medicaid and ACA subsidies, that's part of where the current taxes go

Talking to low income folks, it's not the same as in other countries. They still have financial stress because of medical concerns.

Medicaid experience differs greatly depending on the state you're in. And how it compares with people who have the means to buy insurance also varies quite a bit.

In general, Medicaid is one of the more generous health insurance plans available in the US. The maximum nominal deductible is $3, and the maximum nominal copay for managed care is $4. For drugs, it’s around the same: $4 for preferred drugs and $8 for non-preferred drugs.

There’s certainly variation in who can qualify, per State; some States are more generous than others. It’s debatable whether it makes sense to even consider the US as a whole, since it’s really a heterogenous collection of 50 self-governing sub-cultures. The Canadian healthcare system for eg is also provincial, with the Federal government providing minority financial support. It’s actually more Province-driven than Medicaid is State-driven, today.

Do you get the same level of cover when you’re low income?

Ironically, you get some of the best coverage when you're low income, since Medicaid is so generous.