It's always amused me that the wealthiest country in the world (supposedly) can't afford to provide healthcare to its population, while almost every single country in Europe can.
Healthcare should be a
right, not a privelidge. 47 million Americans (16% of the population) do not have health insurance, rising by 7 million since 2000. Most Americans get their insurance through their employer and as employment is becoming less stable, health insurance is becoming less reliable. Health premiums are becoming more expensive, so some employers don't offer insurance and many Americans can't afford it anyway.
Those without insurance are at much higher risk, as they'll get less preventative care. 20% of uninsured Americans say their usual source of care is the emergency room (compared to 3% of the population), and the mortality rate among the uninsured is much higher.
Yes, privatised hospital care is very good but only for those that can afford it. Less and less Americans
can afford it, and instead have to worry about paying upfront for medical care.
I find it absurd and frankly obscene that a developed country cannot offer something so basic and trivial to its citizens.
The administrative costs of the insurance companies are
huge, they are riddled with bureaucracy. Usually it stems from people phoning to ask whether certain procedures are covered in their insurance, and legal disputes about coverage. A state-run system has much lower administrative costs.
The British NHS is far from perfect, no-one can possibly claim otherwise, but I love the fact I
never have to worry about health care. If I get sick, I
will get treatment. If I want, I
can opt for private health care, there's nothing stopping me (other than I sure as hell can't afford it) but I will always be covered by the NHS.
You seem to have the typical laissez faire attitude that competition is
always 'good'. For hospitals, this is simply another administrative burden. Yes, in some cases it will improve services, but in others it will lead to cutting corners and poor medical practises. When the 'service' you're dealing with is people's lives, is this really something you want competed over? I go to hospital to make me better, I'm not shopping for high-speed broadband. The policies of a national health care system are
accountable to the government in power, and are very important voting issues. Private health care simply doesn't have this accountability.
That said, the French healthcare system is extremely good, much better than the British system. They have a system of providing universal health care, but the providers are private companies that compete amongst themselves for government grants (or something like that, the system is fairly complex but the outcome for patients is excellent).
Some combination of both national and private health care is, of course, the best result for patients. Simply refusing the very concept of a national healthcare system is absurd in a developed country. Especially considering the US funds universal healthcare systems in Iraq and Afganistan, which it cannot provide for its own citizens.
(See
http://www.nchc.org/facts/coverage_fact_sheet_2007.pdf for all these fun facts and more!)