So you have no medical care unless you get critically injured or have a significant illness, and even then it will financially ruin anyone with less than 50K in liquid assets.  

I have lived in the UK for several years and ran into another expat the other day, we were talking about the US health care debate and we actually had a little laugh at how foolish American voters are.  Even with the myriad problems across the NHS it is so much better than US private health care, not surprisingly absent profit motive it costs less as well.  Health care is polarised because the party of the financial elite (GOP) have to oppose private health care, it is against the god given entitlement to earn money at any expense to social welfare.  This means that the voters who they pander to for political support, ironically many who are amongst the poorest and most deprived demographics, just jump on board out of tribalism, it is after all, against their interests, against all interests except a very few.