You bring up a couple of interesting points even if you don't realize it. There are a couple of things that impact your experience that are externalizations. For example, your "cheap" healthcare is largely due to massive amounts of subsidies and NGO work that goes into helping third wold countries provide such "cheap" medical services. In many ways, due to rather authoritarian types in control in government in the west, who think they have the right to steal from their own citizens through taxes in order to "help" others, it is actually even more expensive for Americans in particular to receive medial care because none of those costs of shipping off billions and trillions of Americans' dollars overseas to "help" others is ever included in the cost of things like healthcare. You may ask yourself how that correlates, but it's because, e.g., while American doctors and people are overseas training and "helping" others, they are neglecting their own society and people, and while billions upon billions are spent to subsidize and "help" others, those billions and billions of dollars are drained from America and Americans and their communities, which in turn is money that they cannot use to receive quality healthcare in some cases.

Another point you bring up is that while you are using facilities that are spartan compared to US standards but more than adequate for providing health services, in the USA the very same people who lament the cost of healthcare want well appointed and lavish facilities that are beautifully designed and have cafes and restaurants. I have this kind of argument all the time in a country where people think that a $120 million dollar library with a $10 million dollar yearly maintenance and operation cost is an even remotely reasonable cost when you could provide the very same kind of service in a facility that isn't like a luxury hotel.

It's not just that doctors don't face the same kind of fear of malpractice suits, those doctors are also not under constant pressure to perform unnecessary procedures to pay for the $1.3 billion ... yes, BILLION ... hospital and the health care sector in many countries is not the scheming and conniving and fraudulent get rich quick kind of scheme it has become in the USA. In many of the emerging countries, doctors and hospitals perform their services out of a desire to help people, in the USA there is a whole cottage industry of the medical services that has figured out how to latch onto all the various Socialist schemes Liberals devise on how to dispense with other people's money to "help", which affords them fleets of private planes and ocean side mansions.