people can have private insurance basically anywhere in europe and thats part of why the healthcare is actually decent. but i think also a big part is how america manages their healthcare system. the socialized care and private are not seperate, the socialized aspects are simply paying all these private businesses with very little regulation. and since generally you have no choice, everything is price gouged and the government will still pay their share despite the price gouging. medicaid has some regulation but their not that much just limits on how much they'll pay. nothing stops an absurd amount of cutting corners, nothing stops the price gouging, hell didn't even until recently have to show you the price of care, and its still unenforced. i mean private healthcare is cool and all but passing out and not consenting to an ambulance ride shouldn't cost thousands and thousands of dollars ignoring all the care, like thats just insane, you have to have some level of socialization in these things i think for the same reason we don't have privatized firefighters anymore.
they should definitely focus on killing that price gouging with strict price controls, and more strictly regulating how practice works. subsidising way less. after that all those savings maybe you can offload some of that cost to actually setting up a seperate atleast fallback social system if desired (which i think most would be in support of)