we are not the rest of the west.
And there is large scale debate as to who has "figured out" what in this. We still import alot of medical procedures.
The issue in our system, and the >current< government system that we have is that its simply a shell game. Dr's charge one amount, medicare pays something else, hmos something else...and the patient generally sees nothing of this.
I would bet that less than 1% of insured people in this country know what the dr actually receives in payment for services rendered. In fact, I'd be comfortable making that number .1%.
Whats to complain about if you don't know.
To fix what we have here will require blowing up everything and starting over..and I dont find that likely at all, unfortunately.