Why is the US so bad at this, when so many other developed nations seem to be able to do it pretty well? What makes us so inefficient and corrupt? I thought we were the "greatest nation on Earth"?
We were the greatest nation on earth because we restrained our government. Thomas Jefferson described the constitution as chains that bind-down the power of government.
It's our smaller, less obtrusive government that put us in the position we enjoy now as a world power, but it's also our ever-expanding, debt-ridden government that could quite easily take us down.
And I've already explained why we'll never do health care well.
1) Nationalizing it will immediately and forever politicize it. It will turn into a cesspool of politicians crawling over each other fighting to see who can hand-out the biggest presents. Want proof of that? Look no further than social security and Medicare.
2) Nationalizing health care will also make it even more susceptable to social engineering than it is today. It's fun to talk about bigger government when the engineering is going your way, but picture Secretary of Health and Human Services Sarah Palin imposing her socially conservative views on an entire nation's health care.
3) We have several demographic time bombs built into our system, with obesity being the biggest factor by far. We have to say "no" to over 100,000,000 people over the next few years who have basically eaten themselves to death. Nationalizing thus politicizing health care would only make that job more impossible.
4) Which brings me to my last point. Insurance companies say "no" -- that's part of their job. That's also why most people hate them. As Americans, we don't accept "no" as an answer very well, even when it's what we should be hearing. I'd much rather leave that function in the private sector than hand it to a bunch of politicians who simply want to get re-elected.