> and why America has a political class unwilling to do something like socialize healthcare (even at a regional level)
I don't see how that's a correct statement. Half of Americans are in some form of government, socialized, healthcare system. Socialized healthcare is not only common in America (a quarter of the population is on fully socialized programs just in Medicaid/CHIP/etc), it's quite popular with about 2/3 of the population and the majority of politicians. The US spends about $650 billion just on the Medicaid + CHIP programs. Republicans hardly dare to go anywhere near Medicaid or Medicare these days. 30-40 years ago, the exact opposite was the case, Republicans (the traditional opposition party to socialized healthcare) frequently, commonly argued against nearly all forms of government healthcare. In the Reagan era, it was routine for prominent Republican politicians to call for privatized alternatives to Medicare. Today they won't dare go near that for fear of voter retribution. The most likely outcome over the next 10-15 years, is Medicaid will see continued expansion up the lower economic tiers and will cover 1/3 of the population on traditional socialized healthcare. Within probably 20 to 30 years, it'll only be the top 1/4 that will still be in the mostly private system. Socialized healthcare is taking over the US by default and necessity, its popularity will only increase by the year with the bottom 2/3 of the economic ladder.
I don't see how that's a correct statement. Half of Americans are in some form of government, socialized, healthcare system. Socialized healthcare is not only common in America (a quarter of the population is on fully socialized programs just in Medicaid/CHIP/etc), it's quite popular with about 2/3 of the population and the majority of politicians. The US spends about $650 billion just on the Medicaid + CHIP programs. Republicans hardly dare to go anywhere near Medicaid or Medicare these days. 30-40 years ago, the exact opposite was the case, Republicans (the traditional opposition party to socialized healthcare) frequently, commonly argued against nearly all forms of government healthcare. In the Reagan era, it was routine for prominent Republican politicians to call for privatized alternatives to Medicare. Today they won't dare go near that for fear of voter retribution. The most likely outcome over the next 10-15 years, is Medicaid will see continued expansion up the lower economic tiers and will cover 1/3 of the population on traditional socialized healthcare. Within probably 20 to 30 years, it'll only be the top 1/4 that will still be in the mostly private system. Socialized healthcare is taking over the US by default and necessity, its popularity will only increase by the year with the bottom 2/3 of the economic ladder.