That's fair enough, but that kind of feels like poor and middle class Americans are the sacrificial lambs for healthcare for the rest of the world. There are certain income brackets that make too much money to qualify for medicare, but still don't really make enough to pay for healthcare out of pocket and don't have jobs that provide it, so they can't milk the insurance companies for endless amounts of money to cover their treatment. This leads to situations where people know that they can't afford the healthcare, so they don't see a doctor until situations are dire, go to an emergency room (where they cannot be denied treatment), ending up with an even higher bill that then needs to be accounted for in the rest of the hospital pricing, and therefore insurance.

I'm glad that we're able to subsidize drug prices to make it so Africans can get cheaper healthcare, and I am fine with charging the insurance companies lots of money and taking money from richer people in the process (since the high costs have to be rolled into the premium rates), but it's a little frustrating that it has to come at the direct expense of poorer Americans in the process.