Part of the issue here too is that not only is US health insurance very expensive, but for all practical purposes it doesn’t kick in until you’ve had a fairly significant issue. So you are paying a lot of money for insurance you hope to never use, and in the event you need some kind of basic care you are still paying out - and have no meaningful negotiating power. I’m under the impression in most countries with single-payer / government run health schemes, you might also pay a great deal for your coverage, but that it’s all inclusive.