I've read alot of the posts here, not all, but I have to say the bellicose refrain of the defenders of the established system is discouraging. I would think the some common sense and a little historical knowledge of the western political systems grasped by some college-level education would lead to a more informed discourse, but from the amount of urban myth and xenophobic attacks visited upon attempts at discussing the relative merits and advantages of a universal pay health system it seems there is little of either.
I think the need for universal health care was viewed by Western Civilization as increasingly necessary with the recognition of the virulent plagues and infectious diseases experienced as late as the mid 20th century. Governments, including the US, galvanized medical education, research and practice to treat and prevent these devastations to the greater community and the economic well-being of those countries. The movement toward broader systems of health treatment and coverage led to many of the health plans and insurance systems we know today.
Western Europe, Canada and many other industrialized, highly educated societies adopted managed care practices to prevent these health system from being obvious sources of exploitative profit. The USA, long accustomed to the benefits of political action groups and lobby type organizations, before they had these names, elected to follow a more market based solution. Just as in earlier periods, allowing the railroads, airlines, fire departments, and various other public utilities to offer their services unfettered.
As we've seen from previous instances when fire departments, airlines, railroads, water utilities and power utilities were allowed to operate in a purely free-market based fashion, the consumer was put at great risk of injury and death. Airplanes were extremely risky to fly in the twenties, losing a high incidence of aircraft with loss of life until the FAA was formed to oversee production and reliability standards. Railroads were a disaster of greater order as locomotives blew up from the for-profit motive of faster and cheaper in the 19th century. The original for profit fire departments had to banned and the fire workers employed in institutional government owned departments to prevent the fire companies from starting fires in the early 19th century. Water and power utilities did a terrible job delivering safe drinkable water and power without risk of fire and injury until the government set out the quasi-socialist system of a government-monitored monopoly.
All these comments about the government creating a more expensive, less productive system fly in the face of overwhelming historical and current information of the necessary role of the government in creating safe markets and in many cases better performing services than commercial institutions.
Insurance companies, like derivative brokers in the financial markets, have proven to be enemies of protecting the financial participants (read: those who pay) from their predatory practices. Open your eyes, you defenders of the imperial realm. You are being robbed of your birthright to quality medical care earned by earlier generations of your society who knew an enemy when they saw it ! Health care is not better in this country - read the statistics, learn what is happening around you.
The insurance companies are so malevolent that the California Nurses Association advocates and is lobbying Congress for Universal Health Care. If the health care providers on the front line say that you aren't getting representative health care, what do you know that they don't? From the discussion on this thread, it seems that belligerent ignorance has replaced your own beneficial inquiry.