This shambles can be accredited to a culture whereby the national fabric has become so fearful, phobic and sickly of the idea of Communism, thanks to the Cold War, that they have moved to one extreme of Venture Capitalism to the next, whereby even the smallest suggestion that government MAY actually have a positive and constructive and human rights based ability and role to provide services for the bettering of the nation in a way that the private sphere could possibly not, that everybody screams socialism and raises arms as though they where counter-revolutionists.
So now we have a country that will do anything to keep constructive government at bay at the expense of reaping hell in the socio-economic structures of the country which have become corrupt, disenchanted and marginalised, just because the vast majority of Americans do not understand that the word "socialism" is not mutually exclusive with un-American, bad and communism and does NOT inevitably end with Communism (by the same logic, 2+1 ends with a result of 10).
Perhaps this complete lack of tolerance can also be pointed to the expanding role of federal government in state affairs. They need to be scaled back but state governments should be given an ultimatum to provide healthcare with the funding of the federal budget.
Better, more affordable healthcare for the taxpayer cannot - i repeat - CANNOT - ever be regarded as a bad thing, except for the rich, who will always have the option of private healthcare open to them like they do in England even though we have a National Health Service.