Exactly "participating for costs" is exactly what is destroying the American health system. And it's what sets it appart from most other developed nations where helthcare works. The idea that this is what is missing, is one of the worst conclusions I've ever seen.
My understanding is that there are several countries in the EU where you are expected to pony up money for healthcare. It's usually token amounts, but the fact they do that indicates that's not what's "destroying the American health system".
Token amounts means you're never going to ask yourself "can I afford this 3 euros ?", compared to the "should I really do this x-ray and eat up my 500$ deductible ?"
