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I believe "envy of the civilized world" is a bit strong. Living in Argentina here... they can not believe everyone does not have access to medical care. They actually believe that is an advantage of living in Argentina vs States.
My last 3-4 years as Controller/Accounting Manager for billion $ company I watched as health care costs/premiums were going up over 20% each year... that is a cost that is out of control... something is broken and needs to be fixed otherwise many more will be without healthcare in next 4-5 years.
I also agree with some earlier comments... too many people with hand in cookie jar now and want there share. This is not helping costs and hindering correcting some of the issues.