[hollerith]

>Britain, Canada and Germany don't have to pay for health care and education

That is not true: British taxpayers have to pay for the health care and education of Brits.

The point is that when you add the money the government spends on you plus the money you spend on yourself, America has significantly more money per-person to go around.

What you should have written is that although America spends more money on health care per person than Britain does, Americans have worse health, so the money is spent less efficiently than in Britain.

(It is also true that America spends more on "criminal justice", e.g., prisons, but has more crime, so the criminal-justice money must be being spent less efficiently.)