Not entirely true  Art.  I know a fair number of Americans who were quite well off.. sickness in the family can and does put a huge strain on finances.. It's mind boggling how much they can pay even with 2-4 health insurance policies. 

What also needs to be noted here .. Set aside Obama Care for a moment.  Per Capita (before it's implementation)  The  American federal government was still paying more than any nation on earth for Health Care and they didn't have a national health care plan for all.   Amazing..  Their current one is riddled with warts and needs to be addressed or axed but something must take it's place... because Health Care for the masses in the States is extremely sub par.