Our primary goal should be to spend enough on healthcare to continue searching for better treatments and eventual cures for heart disease, cancer, and the other great killers in the world. Our higher purpose is to end suffering. Efficacy boards full of bureaucrats have been incapable of pursuing this mission anywhere in the world Our most effective system (that's why they come here, that's why we dominate medical advances) accomplishes this primary mission.
We need to provide basic care to all Americans who want care (10MM to 15MM people). We should not force care on those who don't want it. We should not provide care for non-Americans until we get our system to work.
Canada provides care to all for $3,300 per person. The U.S. currently spends $4,000 per person and does not cover everyone.
The government has never been able to control the cost or effectiveness of anything (of the many examples, education comes to mind - we spend more per student BY FAR than any country, yet our 11th graders are ranked 25th in the world). The reasons are many - but two are key: the government is not accountable (by nature) and the government does not manage healthcare day to day so it can only impose lower PRICES (this is different than costs) which leads to rationing and mis-allocation.
It's not the 85 year old prostate cancer person cited by the last respondent, it is the 23 year old English boy who did not fit the rules and died (was killed) due to bureaucrats.
Mark Kennedy