As McCain said, its a fifth of their economy. To sort it out would cost the people who are raking it in hundreds of billions of dollars, which probably means that it will either never be fixed, or will never be fixed without people getting shot.
^this is why the health insurance industry was ecstatic when Obama unilaterally implemented the Republicans' healthcare plan for them
one thing to remember is that this is a much, much less healthy country than anywhere in the developed world, so the cost of proper public health care could be staggering. it would take a dramatic reworking of how Americans live, work, and distribute income to do achieve anything meaningful about this.
the United States spends more
PER CAPITA!!! on public health care than Canada, Sweden, Germany, France, Japan, Denmark et al., and with all that, they only manage to cover over 65s and the very poor.
on the other hand, both parties just gave the military another 700$ billion to screw around with and waste, so I suppose there is always money kicking around... just only for serious things like preparing for imaginary future cyborg/alien wars, and not for frivolities or
ponies like rudimentary public health.
on another note, how hilarious are the Republicans? Obama implemented their decades-long dream health care reform for them, but they immediately set to sabotaging it because short of dog-whistling up the base into a frenzy again him, they were otherwise completely irrelevant.
now, almost entirely because Republicans have worked so tirelessly and unscrupulously to ensure that
their own plan will never work, centrist Dems all have to pretend to rally around Bernie's single payer to be taken seriously for 2020. and the idea of a market-based health care model has been discredited such that
a majority of the country now supports single-payer, including almost 40% of Republicans.
in 2008, before the Republicans got started, 60% of the country was opposed.
exemplary long-term strategy, that!