That's what people voted for.  Also the top marginal tax rate in the US is over 40% in most states and over 45% if you factor in medicare fees and Obamacare so their top marginal rate is not much lower than Norway, Germany, UK, or Italy who all have universal health care (they also each have a small parallel private system too) it's more their top rates kick in at much lower levels, they have fewer loopholes and deductions, as well they spend less on military.