Yep...that’s part of the problem. Before they can require everyone to get health insurance, they need to drive down the cost of insurance and control the law suits. Besides, are they going to require that all Mexicans have insurance before coming into the country?
I’m an American in Germany....and observe the German attempt to run nation-wide healthcare. First...you are correct...they control the costs, allow few if any lawsuits, and the insurance companies can’t do anything without permission of the gov’t. It worked for a number of years...until cost caught up.
Now you have a system where the doctors can’t make a decent profit so they pack and move out of the country...or they go independent. Germany found that the rich folks in the country refused to have common healthcare...so they said if you make over $60k...you are free to do any deal you want. And adding to the episode...they said that Gov’t workers are totally indendent and get a private policy with the best hospitals and doctors at their disposal. Makes sense?
The truth is that state-run care is acceptable until it is unaffordable. Then people will dodget the episode by any means possible. You have to wonder....how did America survive 200 years without healthcare? Surely....we had something going right?