And why is “national” a criteria? California doesn’t get single payer unless Montana also gets it? Neither Californians nor Montanans want that. It’s just political games.
--unless I am wrong in my belief that there is nothing California voters can do to prevent US citizens from moving to California.
https://www.heritage.org/social-security/report/assuring-aff...
But you’ve got a point, it’s probably fairer to say that the ACA and the Dutch and Swiss systems are all modeled on common ideas regarding managed competition: https://jacobin.com/2016/02/gaffney-single-payer-sanders-hea... (“The 2006 Dutch reforms were based in part on a school of health policy thought associated with the US economist Alain Enthoven, a man who got his start analyzing military strategy for the Pentagon before becoming the foremost proponent of competing private-sector health plans (so-called ‘managed competition’). Outside the Netherlands, Enthoven’s ideas have influenced health reform efforts in both his home country — first under Bill Clinton, then President Obama.”)
ROMNEY: Actually, Newt, we got the idea of an individual mandate from you.
GINGRICH: That's not true. You got it from the Heritage Foundation.
ROMNEY: Yes, we got it from you, and you got it from the Heritage Foundation and from you.
The Heritage report (1989), now disowned, antedates both the Dutch reforms and the Clinton Administration. Obama namechecked Heritage at the time.
Seriously, we lived through this. ObamaCare came from the Heritage Foundation.
No it's not. Most European countries that run private health insurance keep pretty strong regulatory regime where pricing and coverage is tightly controlled. In America, there is some basic regulatory scheme but pricing, coverage, limits and such is extremely open.
You're correct too: these countries have strong regulations where pricing and coverage is tightly controlled, though they do use private health insurance.