The Sickness Insurance Law in Germany was passed in 1883.

The number of wealthy Canadians going south for private care in the USA has also grown in recent years where they can gain access to first tier service faster.  

For the 1% -- the ones who largely support Trump, improving access to universal public healthcare is a non-starter because they have got theirs already.  Trump's is not so much a health care bill, but a massive wealth transfer to ensure the rich remain rich and more poor die.

What kind of country would do this ?