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Medical bankruptcies.

The healthcare sector is one of the most regulated and least private in the US.

See eg https://en.wikipedia.org/wiki/Certificate_of_need

I like the NHS.

Very approximately, Americans spends about 20% of their GDP on healthcare. Britain spends about 10%. Singapore spends about 5%. (Those numbers include both government spending, like on the NHS or US Medicare and private spending.)

The NHS looks good compared to the broken American system. But it's a spendthrift compared to Singapore.

Healthcare outcomes in Singapore are no worse than in the US or UK.

See https://en.wikipedia.org/wiki/Healthcare_in_Singapore for more information.

I don't think you included out of pocket payments for Singapore, but you have for England.

I rounded heavily, instead of looking it up. Blame laziness.

https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?end=2... has the numbers. Picking 2019 to avoid covid's effects you get:

US: 16.68%

UK: 9.87%

Singapore: 4.42%

The world bank also has data to show private vs public health expenditure.

Meaning subject to the most regulatory capture and infected layers of parasites

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