Purely anecdotal. It is not bad. It could be better sure. The times that a family member has been sick and taken to an emergency room everybody has done their part to nurse them back to health.

Unfortunately there are always incompetent nurses, staff, and probably even doctors that hide among the competent. You always find a couple of them in the hospital. Thankfully I've only ever encountered incompetent nurses, or nurse aids. Especially nurse aids. Doctors have been OK.

They are really hard to get rid off because they do just enough to not get fired. They also work really hard to mask their mediocrity.

Of course, I have not been able to experience the health care of other countries so there is a chance that USA's health care is worse than I think. I'll be extremely happy once we are able to automate health care.

Systems, maybe not, but we definitely have the best researchers and minds in the field.