Health Affairs has an article Comparing our private, for large profit, health insurers with those elsewhere. The study compared insurance experiences in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Switzerland, the U.S. and United Kingdom. No surprises:
Overall, the study found significant differences in access, cost burdens, and problems with health insurance that are associated with insurance design. US adults were the most likely to incur high medical expenses, even when insured, and to spend time on insurance paperwork and disputes or to have payments denied. Germans reported spending time on paperwork at rates similar to US rates but were well protected against out-of-pocket spending. Swiss out-of-pocket spending was high, yet few Swiss had access concerns or problems paying bills.
The United States is the only country in which one-fifth of adults reported serious problems paying health care bills. In contrast, at most 9 percent of adults in other countries (8 percent Australia and 9 percent France) reported serious problems paying bills.
Medicynical Note: Yes our approach is unique and dysfunctional and mirrors a culture in which 80% believe in miracles: in which a large proportion, perhaps a majority doubt evolution; in which a near majority deny global warming as an increasing problem; in which large numbers of people don’t want to mandate health insurance coverage but want all possible treatment available at little or no cost when illness occurs.
Welcome to the home of magical thinking.