First, foremost, and finally. We don’t have a health care industry, we have a medical services industry where any aspect of societal benefit is purely coincidental.
We have a system whereby a broken leg can lead to bankruptcy and loss of one’s home. We pay more individually and socially than we would with a “single payer” health care system but have millions of people (the ones most vulnerable to the impact of the industry) who will fight any and all attempts to institute a system that puts health care above profit for a few.
The American “health care” industry is a lot like congress, a good idea that has been so corrupted by mutual greed and profiteering that both are crumbling under the pressure they were intended to withstand.