How many new lifesaving drugs does Slovenia produce? How many new advances in surgeries does Spain bring? The United States is more expensive and absolutely should have some reform, but Americans bear the brunt of the costs because other countries use our innovations, do not develop their own, and then put a cap on how much they will spend for those innovations.
And that is not even to bring up the issues with having Government run healthcare. Like the waiting lists for simple things like MRI.