America is a big slow behemoth that resists structural change. Always.
I don’t dream big with American healthcare. That we got rid of pre-existing conditions still blows my mind to this day as you ALWAYS had to hide your illnesses previously.
You didn’t let any insurance company know about a pre-existing condition UNLESS you knew you were going to be at a job for a long time because then you could get and keep insurance going there.
Because if not, if you lost that insurance, nobody would give it to you again if you had a pre-existing condition – and there were a lot of them.