A major problem with Obamacare is that he has been forced to water it down to the ridiculous. Most other first world countries make it mandatory to belong to their government plan thereby spreading the costs and risks across the entire population. This eliminates the heavy bias towards enrolling only those who are higher risk and very costly patients. The government is usually less efficient but as an offset the government doesn't need to drive a profit.
A few countries allow the ADDITION of private coverage but all must belong to "the plan". I believe France mandates that one belongs to the basic plan, which covers basic and emergency health issues, and mandates that one belongs to a "pay for" supplementary plan. I'm a l'il foggy on that one.
Thanks to Sampers. I guess I should take the shot.