The US has always had a “different” approach to health care. Left-wing critics call it “free market,” but nearly half of all health care spending in the US is by the federal government. Even the non-government share is largely from third-party sources for which individual customers do not pay directly.
This shift has not happened overnight as over time the shift toward government and third party health insurance has been dramatic. Unfortunately, this has had real impacts as the chart below highlights with an explosion in administration and a relatively small increase in the number of physicians.