No. of Recommendations: 2
It's the result of path dependence and our political structure, which gives far more political power to medical service providers than in other countries.
Sure. However, the voters still decide. And they elect people who are -for the most part- hostile to changing the insurance-paid medical system. Heck, Obama didn't really change it (i.e. it's still an insurance-based system), and it still barely passed (and was one senate vote away from being scrapped a few years ago).
Europeans, Japanese, and others, have all figured it out. But we haven't (mostly). In fact, some factions have been talking about ending Medicare (the one public health system we have). Medicare works, so it's gotta go!