Democrats’ Medicare for All debate has turned into a referendum on the existence of private health insurance. But simply having private health insurance isn’t the weird thing about the U.S. system — the weird thing is how we go about it.
The big picture: Health care in the U.S. is yoked to employment — it's a form of compensation for workers, and then we use a smattering of public programs to fill in the gaps. Other rich countries, though, treat health care like a social program and organize their systems accordingly. And their way is cheaper and more effective.