One area where the US medical system leads the world by a pretty large margin is innovation: best doctors, best schools and best funding (is there any surprise the first and from what I've heard, best covid vaccines came from the US?). On a long enough timeline, the improvements to Quality of Life from Innovation massively outstrip the improvements of quality of life from equity. The rest of the developed world has the luxury of thumbing our noses at the US system while also able to enjoy the fruits of that system. I wonder how much more equitable they can make their system before they start knee-capping innovation?
I also dont think you can even began to fix the US medical system (or any of their other major faults as a nation) until you get money out of politics, because any piece of legislation that tries to fix it will only end up working to the benefit of pharmaceutical companies and insurance providers and to hell with everyone else.
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