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Americans think that they should pay more for less ...they pay their taxes
...and any doctor(s) they need to see
...labwork
...the hospital(s)
...and if they want teeth, that's another cost
...and if they need to see, that's another cost
...oh, and medicine

...and IF you can afford insurance, guessing what is or isn't covered

The main thing that Universal Healthcare would be to benefit American society is centralised billing.

Efficiency is more effective, although the confusion of 'middlemen' on the path to care that we have had allows for more hats in the ring to exploit the primary opportunity which is poor health or illness.