There's other disparities in terms of access to health-care providers, which are also important, but the fundamental disparity is people who are uninsured don't get the care they need to maintain their health.
Frum: Americans don't like comparing their way of doing things to anybody else. And when they do compare, the comparison they typically will most often make is to my native Canada, partly because it's next door and speaks English, and partly because it's a system as different from the United States just about as there is in the developed world, so you get a very extreme compare and contrast—very different from what you would do if you compared it to, say, Switzerland or Germany. But how do other countries approach these things? What do they do right that Americans could learn from if Americans were ever minded to learn from anybody?
Gruber: I think, fundamentally, they do two different things, and this comes to, really, debate over single payer. Let's step back and talk about Bernie [Sanders] and single payer. Okay, what is single-payer health care? It really is three different pieces. The first piece, the one we talk about the most and that's the least important, is having one single payer. The second piece is universal coverage. That's something that other countries do right—most countries in the world do right—and that's something we should do. The third piece, which we don't talk about nearly enough, is regulating health-care prices. We're the only developed country in the world which lets the free market determine the prices we pay for health care. Health care is a broken market. The free market should not be determining the prices. There should be government regulation to help determine the prices. Every other country in the world's learned that lesson; we have not...
https://www.theatlantic.com/podcasts/2025/12/the-david-frum-show-jonathan-gruber-health-care/685126/