[cascom]

We (Americans) are in this situation simply because we have avoided making hard decisions in our healthcare system, and in many cases created actually done things that break the system further (limited to no healthcare rationing in Medicare, mandatory acceptance of pre existing conditions, attaching private insurance to one’s employer rather than the individual, etc.)

In short we haven’t come to a consensus as to derivation of the engineering axiom, you can have 1) broader access 2) quantity/quality 3) affordability —-pick two