I think universally americans all view our healthcare as being pretty fucked, or at the least very expensive. Who to blame usually depends on ones political orientation. The insurance companies are greedy, and try to get out of paying whatever they can, so they go back n forth with your hospital/doctor/etc over every nickel and dime and service you receive.
Hospitals and medical practices have to carry huge amounts of malpractice insurance in case they screw up and get sued.
Most of us working folks get private healthcare benefits through our full-time employer. Basically your employer pays a bulk rate they negotiate with insurance companies, and you pay the insurance premiums and co-pays which are fees for doctor visits and prescription meds. I have a wife, and 2 children I pay for. Around $1000/month, for medical/dental/vision coverage.
A couple years ago our plans switched to a HSA (health savings account) which works out roughly to the same cost, buuuuut whatever i pay into it thats unused is in a savings account, similar to a retirement savings account. All in all, I think that was a good change.
I don’t really know about the medicare/medicaid/obamacare side of it, but it’s not great and definitely you’d rather have a private insurance.
The biggest problem imo is it all costs too much. Hospitals trying to charge $400 for a bandaid, prescription meds are nuts sometimes. When I got the flu last year, I paid nearly $500 for a bottle of tamiflu.
Basically you never want to get hospitalized without insurance. A one nights stay in the hospital will easily run you several thousand dollars. Not a big deal if you have insurance, but if you don’t, yikes.
I guess obamacare “forces” everyone to have insurance, though i’m not sure what the penalties are if you don’t, or who exactly would come after you. Probably the IRS (our federal taxation department). That sounds scary if you arent from the US, but I think we all know they aren’t getting water from a rock.
It’s just a bizarre system if you step back and look at it objectively, and i put most of the blame on insurance companies, big pharma, and politicians on both sides that have long profited off of it.