I don’t imagine any of those countries has 12-20 million third world illegal residents, many of whose idea of medicine is only a step away from conjuring, and who buy prescription meds over the counter in their home countries, bring them here, and self-treat inappropriately. (Ever wonder why we have “super-TB”, lung diseases following treatment of it, and pervasive MRSA here, as well as, say, out-of-control diabetes the individual has been self-treating with methicillin? Guess.)
I didn’t see France on the “approved list”, though I have seen it touted on here before. The only reason I bring it up is because I know a little bit about it, and it may well be illustrative of some of the problems with subjective judgments like this, or even statistical information.
In France, there are essentially two systems; one public and one private. The private sector is pretty much on its own, is better than the public system and is less transparent than the public system. Nobody even knows what physicians charge in the private system because their fees are totally unregulated. The private system is about 30% of the whole.
In France, everybody pays “up front” for medical care (except hospitalization, and they’re working on that) and is reimbursed from the public plan, if at all. Very likely that significantly dissuades overutilization.
Illegals cannot be on the public system at all. It’s “cash up front, no reimbursement”.
Malpractice cases are handled by special courts, judges only. The lawyers don’t get contingency fees, therefore no big payoffs. The government pays for the malpractice insurance of the “public sector” doctors, and their medical education as well.
Lots of drugs available in the U.S. are not available there, for the simple reason that the government doesn’t want to pay for them. In the private system, you can get them. In the public system, you can’t.
Government subsidies (like malpractice insurance, medical education and many drugs) are not included in the cost of care numbers. There are also varying subsidies in the different political subdivisions of France as well as on the national level.
So, there are all sorts of differences in the various systems that make it hard, or even impossible, to compare apples to apples. One cannot legitimately make persuasive comparisons without disclosing very exquisite detail about the ones being compared, and making adjustments. In some cases, as with France vs the U.S., it isn’t possible to really compare.