What would it take for the US to catch up to almost all of the rest of the developed world and provide universal care ? A Democratic President, House and Senate ? Or would that still be able to be removed once Republicans gain power ? America should be embarrassed about the state of health care in the country considering the GDP and tax revenue available to the government.
The US spends more than any other country on health care, yet doesn't even provide universal health care, and worst of all provides a lower quality of delivered care to patients on a per capita basis than many other developed nations.
What would probably be best for the US is a two tier system . Here we have universal care, but some provinces can allow two tier care where you can pay out of pocket, or via insurance, for services as well. So in the US you would have federally provided universal care and then states can do their states right thing and make provisions for two tier care. Two tier here primarily is comprised of diagnostic imaging, primary physicians and out patient clinics. No private hospitals, no private emergency care etc. This would still allow some market for private health insurance from your employer, which we have here, it covers things like pharmaceuticals, support equipment, private rooms in hospitals etc. While keeping core hospital care out of a private system.
Probably never going to happen though, the propaganda is so strong against a proper health care system in the US and the insurance companies are so firmly entrenched. A lot pf private health insurance business would be eliminated, but that would be a good thing in the end.