Healthcare still isn't the best though in Canada and the UK. When you look at countries like japan and germany, they use a mix of public and private healthcare. People who have the money to buy their own healthcare can buy it but the people who really need help can access public healthcare. It doesn't strain the system. Besides, most of the American middle class is already satisfied with their own private healthcare, so what's the point of radically switching to a new system? You might as well as just bring back ACA subsidies, fix the welfare cliff, combine the programs, and continue funding snap, medicare, medicaid, and tanf.