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Corruption, lack of a single payer system that dramatically increases efficiency in the "socialist" countries. Insane health insurance system (ties into corruption).

It's doubtful they can/will fix any of this. America is a country controlled by lobbyists.

The politicians don't matter at the end of the day, look at Obama, had the right idea, could only implement a relatively mediocre system because anything good was politically untenable. The fact that politics can trump (lol) the health of the nation is enough for me to never want to live there.