The US healthcare system is confusing to me. The quality of service can be very high due to advanced technology but it’s also very expensive.
The wealthy can afford exceptional quality care.
The poor get nothing. However I’m told they can get emergency care and thus probably clog up emergency with non critical cases. Most of these would not be treated past emergency level and so back they would come later on.
Quite some time ago I advocated for our society (and the US) to underpin opportunity moreso than equality (because we are not truly equal). Part of that is a fair but not overgenerous healthcare system, especially for the young who should have the capability to make and build a life for themselves.
The bulk of people who work and their families rely on employer paid health insurance schemes which appear to have rather irregular qualities. These insurance companies provide a capitalist-socialist system which dominates US healthcare. They are actually less efficient than most Governments and exclude any high risk people from cover. This means the people who need healthcare the most get it the least.
I also know many people here find US healthcare one of the worst aspects of touring there. Foreigners don’t comprehend the complex system, are exploited when sick and often cannot get proper care even with insurance. America is a very dangerous place to get sick.
US healthcare is also suffering from the same healthcare issues that the rest of the West is experiencing. Part of this is the aging population which need more care and part of it is the rapidly rising cost of care, especially of the more advanced kind. This other aspect includes the huge profiteering possible by healthcare providers at every level from insurance to hospitals to clinics to prosthetic manufacturers to medical packaging to waste disposal because of the near limitless demand. Capitalism has always been weak where supply or demand are inflexible.
The US can be a very proud country but I see little to be proud of in healthcare. Many US citizens get no healthcare. Citizens who do get care pay far too much. For longer term illness the road can lead to financial ruin. The statistics of health in the US are below par for Western nations.
Obama wants to hopefully change the healthcare system. However resistance to the idea is very high in the US because Obama’s solution is seen as a socialist response by conservatives, and really it is.
It’s very easy to say socialism is bad and the poor should pay for their own healthcare, when you are well covered. The argument about whether healthcare is a right or not is irrelevant. What is relevant is the willingness of US citizens to help each other. Conservatives seem to be selfish in this area but that’s hardly surprising given the cost of healthcare and current spending patterns in Government. Let’s face it, spending has been far too high. What the GOP has failed to do is come up with a realistic solution themselves. Both now and during their terms of power. Obama came up with his plans but really these sorts of changes are more suited for better economic situations like when the GOP was in power. The timing is poor and his efforts should rather obviously tie more into economic and job recovery than side issues like healthcare. So the struggle to get some healthcare reform passed into law is on. And on and on it has gone.
But what are we seeing in this political dance past the haze of voting battles?
Obama is failing to lead. He’s stooped so far as to deem passage of law due to his ineptitude. He has poured enormous effort, time, power and wealth into this one venture and has achieved precisely zip. This goes past healthcare too. Apart from spending money what has the man done? He lacks inspiration, he lacks hope, there is no change and he even lacks an iron will should it have been necessary to ram his ideas down throats. We’re also seeing the now ancient story of an incompetent, self interested Congress. I only add this second part because I’ve long felt it’s been much more important for Americans to repair their Congress than pick the best President.
I really feel that Obama’s political ambitions will be dashed upon the rocks of healthcare resistance.

A lot of time has passed since 9/11 and the invasion of Afghanistan. 8 years it is now. For far too long Iraq got the lion’s share of effort and attention. Perhaps that was necessary but it meant Afghanistan was neglected. When push comes to shove it was less important and also much harder.