Ideally, a competitive market would keep prices low, but in reality, people are bankrupted left right and centre. Let's do a though experiment. I'll assume you are relatively well off, but in what financial state would you be if you suffered from pancreatic cancer? Just about anyone in, say, Canada, England, Sweden, France, Germany, Scotland, and Italy, could say that they would be just as well off as before, but in the US, people have to beg others not to call an ambulance because they can't afford it. Universal healthcare allows people to get treatment as soon as possible, no questions asked, with often the option of going private if you can afford it.