Comment by tormeh

Afaict the original sin of the US healthcare system is having the healthcare providers chosen by employers. That means that the patient is not the customer, the patient's employer is. That in itself has dire consequences.

Privatized health care need not be so bad. Germany has privatized health care, but it's pretty much fine, at least for patients. It's regulated to the moon and back, but afaict so is the US system, just with very different goals. The ACA feels a bit like the beginnings of a German-style system.