Sources of funding are not irrelevant, if you’re going to make a claim that Americans pay more than Europeans. I don’t question that the spending is more user direct, but hidden taxes that go towards healthcare are still costs to the taxpayer.
If you’re going to make a claim that AMericans pay more, you have to show that Americans pay more overall, as opposed to having it come out of pocket more directly. Paying a lifetime of taxes for healthcare does not make it cheaper than when you pay directly out of pocket.
It also doesn’t justify, ever, removing the future from the children for present benefit. That $200,000, if invested instead, would have been worth approximately $700,000 today and generated an income of about $30,000/year. That’s a direct cost to me, paying for the healthcare of others cost me my future with no benefit to me.
Americans pay more whether the money comes from taxation (most of it), employers (part of it), or out of pocket to insurers or directly.
That all comes out of national accounts, which capture overall revenues by industry. Unless the US or France have a large number of under-the-table doctors or prescription drug vendors, thats going to reliably capture what is actually spent.