Um, I was thinking that if my employer gave me like, say 25% of the money they pay into insurance for me both of us would be supremely happy with that arrangement.
Did you know that the United States federal government spends more per capita on public health care than Canada, where the system is completely publicly funded? And that is WITHOUT actually having a public health care system (even impoverised countries have public health care).
Why? Simple. Money.
The United States has a
for profit health care system, for those who can afford it, and a second tier public system for those who cannot (with minimal services). Because it has a for profit system, costs are astronomically higher, because everyone along the chain - suppliers, practitioners, hospitals, insurance companies - set their prices and take their cut for shareholders/owners. In a public system, the government sets the prices, and hospitals are public, not for profit entities. Medical clinics, while private for profit entities, don't charge patients but bill the government based on government scale. Drug prices are kept low by more reasonable patent laws and government purchasing power.
Counter-arguments typically revolve around choice and taxes. Some people argue that a public system would mean they can't choose their provider. Elsewhere, this is completely false. In a public system, you can go to whatever doctor or hospital you choose.
The argument that a public healthcare system would necessitate higher taxes is somewhat true, but is out of context. Since the federal government already pays per capita for health care more than publicly funded countries do, it seems to follow that making the system public shouldn't cost more. True, but it would take some time to get the money interests out of health care to realize the efficiencies that can be gained by taking profit out of the chain. But also, it is a fallacy, because Americans pay far, far more for health care off their paychecks or to a private insurer that even a very significant tax hike would cost them. Still, many don't understand that paying $100 more to the government a month is better than paying $300 to a for profit insurance plan.
The sad fact, though, is the fundamental reason the United States does not have public health care is that a significant portion of the population - older and white, primarily - don't care to share their health care with other cohorts of the population. They don't want to mix in a hospital or clinic with the greater unwashed. There is an element of elitism, and tinges of racism mixed in with it. Also, there are those who want to be able to get front of the line premium service when they want it.
In a public system, everyone gets the same access to the same services. If you have a heart attack, or get diagnosed with cancer, the system kicks in immediately, and doesn't care what color your skin is or whether you can write a cheque on the spot. If you have a hernia, you probably have to wait for the next opening on the schedule, but can 'shop around' to see if you can get it done at another hospital quicker. If you are Jeff Bezos and you run to emergency because you have a nasty cut on your thumb, you will get a bandage at triage and sit on your ass for 6 hours to see a doctor, because that cut is a pretty stupid reason to go to emergency and the system will assign resources based on priority - and Jeff Bezo's thumb would be last on the list. The really top surgeons have waiting periods, and they might be six months. So what? Anyone can get that surgeon. In the private system, he would only be catering to the rich.
You have congressmen and senators getting rich off private health care. Joe Manchin. You have billions from the health care industry pouring into political campaigns. You have politicians across the country who have been reaping billions from Covid.
John McCain wanted to take the money out of politics. He was right. When the money is gone, you might get representation for the people, by the people. Until then, it won't happen.