Why does the US not support universal healthcare?

Asked by: Domenick Doyle  |  Last update: January 13, 2026
Score: 4.9/5 (10 votes)

Groups with significant economic resources have long been opposed to universal health insurance. We have a political system so sophisticated about finding the middle ground that we have had long periods in which the parties have been essentially even in their control of power in the national government.

What is the argument against universal healthcare in the US?

One of the problems opponents see with single-payer healthcare is the control of services by the government and the likelihood that budget restraints would reduce individual choice in health care decisions. Opponents believe free-market health care ensures a balance of supply and demand of services.

What are the disadvantages of universal health care?

Con: limited budgets

Universal health care that's funded or heavily subsidised by the state may not offer treatments or medicines deemed not effective or proven enough to justify the expense. This practice, known as "care rationing", can even be expanded to frontline treatment.

What would happen if the US had universal healthcare?

Universal health care, it was estimated, could have saved 212,000 lives in 2020 alone. Today, however, market-based US health care continues to be a global flagship for the neoliberal economic model and its entrenched inequities. The tentacles of economic neoliberalism reach deep into health systems around the world.

What is the biggest problem with America's healthcare system?

Complexity in the US Health Care System Is the Enemy of Access and Affordability. Lack of insurance coverage, high costs, and poor outcomes are well-documented problems in the US health care system, and policies to address them have been hotly debated for decades.

Why the U.S. never got universal health care

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Why does the United States not have universal healthcare?

Typical explanations include a history of individualistic culture, union bargaining, inflationary pressure, or favourable tax treatment for employer-sponsored health insurance (Scott 2023b).

What country is #1 in healthcare?

The Legatum Prosperity Index 2023

According to the index, Singapore ranks first for healthcare, followed by Japan in second place and South Korea in third. In contrast, the United States ranks much lower, coming in at 69th place in this assessment.

Has the US ever tried universal healthcare?

Additionally, US Presidents like Truman, JFK, and LBJ expressed support for universal healthcare. Yet, the US never fully realized a national healthcare program, with LBJ's Medicare and Medicaid program being the best we got.

Can America afford free healthcare?

If you look at the numbers, there simply isn't enough spare money in the budget to be able to afford to put every citizen on a Medicare/Medicaid program. However, if a deeper look is taken into other programs and tax breaks, affordability is possible.

Would universal healthcare lower doctor salaries?

Physicians might earn a little less, but their costs (insurances, staff) would be much lower. Physicians tend to make a lot of money in countries with universal health care, so I would not worry about that.

What is the downfall of universal healthcare?

Disadvantages of universal healthcare include significant upfront costs and logistical challenges. On the other hand, universal healthcare may lead to a healthier populace, and thus, in the long-term, help to mitigate the economic costs of an unhealthy nation.

What country has free healthcare?

All but 43 countries in the world have free healthcare or access to universal healthcare for at least 90% of their citizens according to Hudson's Global Residence Index. However, Brazil is the only country in the world that offers free healthcare for all its citizens.

Who pays for universal healthcare?

Most universal health care systems are funded primarily by tax revenue (as in Portugal, India, Spain, Denmark and Sweden). Some nations, such as Germany, France, and Japan, employ a multi-payer system in which health care is funded by private and public contributions.

Does Japan have free healthcare?

Is healthcare free in Japan? Healthcare isn't free but it's relatively inexpensive. In addition to having to pay monthly premiums into the public health insurance system, Japanese citizens pay 30% of their medical bills themselves - bills that are closely regulated by the state, so that they never become unaffordable.

Why is universal healthcare not a human right?

It may be a government granted collective entitlement, but not an individual human right. Why? Because a right to medical care imposes an obligation on a physician to provide services to anyone and everyone with whom he has not even had necessarily an established professional relationship.

Is healthcare free in Canada?

In Canada's health care system, some services are free at the point of service while others require the patient to pay a fee. Roughly 70% of health care spending in Canada is covered by the government, paid for with tax dollars. (Some of those services may still require some payment from the patient.)

Why is the US the only country without free healthcare?

In the United States, everyone selfidentifies as middle class. This leads to a very simple syllogism about why the United States has no universal health insurance: there is no self-identified working class—no labor party, no national health insurance. It is hard to disconfirm that syllogism.

Why is U.S. health care so expensive?

There are many possible reasons for that increase in healthcare prices: The introduction of new, innovative healthcare technology can lead to better, more expensive procedures and products. The complexity of the U.S. healthcare system can lead to administrative waste in the insurance and provider payment systems.

What are the three biggest issues in healthcare today?

So, let's hop on a journey to explore the 7 biggest challenges of the healthcare industry!
  • Rising Costs of Healthcare Services.
  • Financial Challenges for Providers.
  • Shortage of Healthcare Professionals.
  • The Need for Improved Mental Health Systems.
  • Increased Demand for Personalized Care.
  • Big Data and Cybersecurity Issues.

What are the cons of universal healthcare?

Proponents of universal healthcare say it increases equality in a society and provides more affordable care. Critics say it can increase waiting times to get care or may lower the quality of healthcare.

Who profits most from the American healthcare system?

Four private health insurers account for 50% of all enrolments. The biggest, UnitedHealth Group, made $324bn in revenues last year, behind only Walmart, Amazon, Apple and ExxonMobil, and $25bn in pre-tax pro t. Its 151m customers represent nearly half of all Americans.

What president wanted universal healthcare?

In 1945, President Truman proposed a national healthcare plan to Congress. In his plan, he outlined five main goals: Address the lack of trained healthcare professionals in all communities.

Why is the US ranked so low in healthcare?

The equity score reflects how income influences access to and patients' experience with health care. Australia and Germany rank highest. The United States and New Zealand rank last because low income affects access to care, and patients' racial or ethnic backgrounds can lead to unfair treatment, the report showed.

What is the healthiest country in the world?

According to the index, Spain takes the top spot as the healthiest country in 2024. This impressive feat is attributed to a robust public healthcare system, readily available preventive care, and the widely celebrated Mediterranean diet.

What state is #1 in healthcare?

Hawaii, Massachusetts, Minnesota, Iowa, and Connecticut are the top-ranked states according to the 2020 Scorecard, which assesses all 50 states and the District of Columbia on more than 45 measures of access to health care, quality of care, service use and costs of care, health outcomes, and income-based health care ...