Preaching to the choir, my friend. I think anyone who prefers the American system is either fucking nuts or they are profiting off of it. The US pays 50% more overall to come out worse in most metrics. And you are correct that the additional costs fall on the working class. My healthcare costs were about 19% of my income when my wife and I were in the top 10% of households incomes. Lower income households spend more than that 19% here in the US. The ones in the top 5% he up spend only a small percentage of their incomes on healthcare costs. That is extremely fucked.