Let me begin by saying that I support health care reform, and agree with many of the arguments toward socialized health care. That being said,
there are many good reasons why Americans are reluctant to go down that route. It's not just a matter of right-winged propaganda.
For the record, I live abroad and have neither insurance or a local national health service to help me. Any treatment I get comes straight from my pocket. However, I grew up in an American middle class family with insurance. We weren't rich by any means, but my experiences with the private health care system were mostly positive. I showed up, I presented my insurance card, I was treated, and I received a (usually) small copayment bill the next month. My experiences weren't particularly atypical for insured families. I've never sought treatment from a British, Canadian, Australian, etc. public hospital, but hearing stories from my friends (one mother of a friend, a Fillipino nurse working in the U.K., says she will move back to the Philippines when she retires because she doesn't want to die under the care of the NHS), I can safely say that my health care growing up was just as good as theirs, if not better.
Consider this chart:
Despite the economic inequalities of the American system, it does appear that the private sector in America does provide a greater abundance of overall health care resources than Canada. The problem isn't that the private sector provides inferior medicine to foreign national heath services, but that the distribution of treatment is less fair.
Health care reform in the United States will primarily benefit those without insurance. For the majority of Americans who do have coverage, however, they do not stand to gain much. Sure, insurance companies screw over clients, but can anyone who lives in a country with universal health care honestly say they never get screwed over by the local NHS? Is it not true that people in those countries sometimes die as a result of inadequate treatment from the national health services? Some people will say that, as NHSs don't turn a profit and exist solely to provide medicine, they are naturally preferable, but as a patient, it's not going to help my condition any knowing the reasons why I'm being denied health care is out of incompetence as opposed to profiteering.
For all the problems with the American private health care system, it would be a mistake to follow the path of other industrialized countries. There must be a new system; one that expands coverage while retaining the quality of care currently provided by the private health sector. I have no idea what that would look like, but Europeans, Canadian, Australians, etc. should stop championing their systems as ideal models when they are in fact rife with problems that us in the U.S. (including those of us who want health reform) would be best to avoid. Forgive me for suggesting this, but I sometimes get the impression that non-Americans actually
enjoy pointing figures at the problems of American health care. Distracts them from their own health care woes, perhaps?