Someone told me this a few years back and it stuck with me.

"American healthcare is the best in the world like sportscars- Ferrari, Lamborghini, BMW, Bugatti, etc. are the best cars in the world. Surely they both are the bests in the world- but only for the small percentage of people that can actually afford them."

This is sad.

(Many, including me, wouldn't buy a sportscar even if they could afford one, and sportscars aren't the "best" in their opinion. But this comparison drives the point home.)

I think you're mostly right. Although there are exceptions. Consider to opioid crisis. That's a case where profit motive directly leads to poorer quality care.

Regardless of that, high quality care isn't much good if you can't access it.

I would argue a care that is beyond my affordability is bad quality of care.

Yeah you’re right, s/patients/citizens/