[DanBC]

> But the average for people in the US with insurance is better than it is in many systems with universal coverage,

No, this is actually untrue. People who pay for insurance want to see a return on investment, so they want to see lots of testing. This is why over-testing, over-diagnosis, and over-treatment are so common in the US, and why the rates of harm from these things is so prevalent in the US.

This thought - that insured Americans do better - often comes from a misunderstanding of things like 5 year survival rates for cancer. Imagine someone who will die, no matter what you do, from a slow growing cancer at the age of 75. In many countries that cancer is detected when the person is 73 or so, and they move onto a palliative pathway. In the US that cancer may be detected when the person is 67, and their insurance is drained and then their life savings are drained and then they're eventually moved onto a palliative pathway.