disagree with you bill. that's not the way it is around here ...
Germany's system sounds like a horrid affair, leaving no freedom whatsoever for one's health decisions. i'll pass. i'll pass on the british and french systems, too. no doubt the usa system needs some tuning, but it still offers the best care in the world, some of it right here in alabama in birmingham and environs ...
Can you explain how Alabama's system differs? The notion of a high-risk pool is certainly not unique, nor is the notion that school kids must have a minimum of insurance. Government provides Medicaid in every state. How much coverage does $10 but those school kids? What's the deductible? Does the program receive funding from the state?
From the posts here, and from other readings, and from experience, I see no loss of freedom or interference in medical decisions in the German or French or UK approaches, unless you consider the ability to refrain from acquiring health insurance to be an important freedom. (I don't.) What, exactly, are the freedoms you see being limited? No one has said the German approach stops people from selecting their care providers or that the government steps in to veto or alter health care decisions?
Nor will my freedoms be limited by the new law here in the U.S. I will see the same doctors and file claims with the same insurance company. (Yes, I will need to staple a piece of paper to my tax return.) However, as I've said, I'll be able to shop for a better or a cheaper policy, which I could not do without the new law, so my freedoms have actually increased. And, regarding interference in health care decisions, I think it is widely acknowledged that health care corporations routinely arbitrate and veto patient and doctor decisions. That's a serious problem that remains to be addressed. People suffer and die because anonymous corporate staffers are incentivized to refuse to preauthorize care. (My corporation vetoed my and my surgeon's choice of local hospital in which to have my surgery, for example.)
The talking point that the U.S. has the "best" or the "greatest" care in the world is meaningless. What criteria are you using to make that claim? Cure rates? Number of hospital beds per capita? Number of doctors per capita? Relative costs? Delays before treatment? Preventive care?
In some areas we may have the best technical equipment or the best leading edge medicine, but unless those benefits are accessible to all regardless of ability to pay, they don't count.
There are any number of criteria by which the U.S. system is nowhere near the "best" or the "greatest" in the world. It is self-evident that the private insurance market here is far from the best approach because it has failed to deliver medical care to all Americans regardless of ability to pay. I'd also argue it is impossible for a private for-profit system to do that.
What is it, exactly, that you are afraid of, and what evidence do you have to support that fear?