Sorry, but as an outsider from one of those other countries you mention, I don't get what you mean by top notch? Top notch for whom? The people who can afford to pay out of pocket? Or those willing to do into debt to just get treatment? Whenever I see news from places like PBS News Hour, it's about some low wage or senior person struggling to just care for their medical needs or prescriptions.

I don't know my guy, your system isn't exactly top notch for most people - I don't think you need to look very hard to see that if you try.

Random examples:

- https://upload.wikimedia.org/wikipedia/commons/0/0b/OECD_hea... - https://upload.wikimedia.org/wikipedia/commons/d/d6/Life_exp...

There's something very very wrong here when your paying that much per capita and a lot of people are still struggling.