Why Importing Healthcare Models is Difficult for the United States

When examining healthcare systems around the world, it’s easy to look at models like Canada’s single-payer system, Germany’s social insurance structure, or Singapore’s hybrid approach with admiration. These systems are often hailed for their universality, affordability, and relative efficiency — qualities that many Americans agree are lacking in the U.S. healthcare system. Yet, when discussions turn toward reform, the idea of “importing” these successful models into the U.S. consistently hits a wall. Why? The answer lies in the intersection of culture, economics, history, and politics, which collectively make healthcare reform in America a uniquely challenging endeavor. To begin with, American healthcare exists within a fundamentally different cultural context than many of the countries whose systems are praised. In most European nations, healthcare is viewed as a human right and a collective social responsibility. Citizens expect their governments to provide comprehensive health...