Norway Pop. 5M (approx) Finland Pop. 5M (approx) England Pop. 53M (approx) Canada Pop. 35M (approx) United States Pop. 318M (approx)
The scale is way off from many other countries who have implemented the kind of healthcare reform being talked about.
When you get to hundreds of millions of people all kinds of issues arise that you don't see elsewhere.
China and India are the only countries more populous than the United States and I'd be nervous to experience their health care system. In fact you have to go quite far down the population list to get a first world country where that kind of healthcare is being implemented (happy to be proven wrong here)