I have a clinical colleague who worked in the US for a few years. I think their description of US healthcare is best summarized as follows. Has the potential to be the greatest on Earth. In reality, the quality of care provided is far below European standards. She was mortified to discover that diabetics routinely had below knee amputations whereas in the rest of the world, with the exact same clinical picture, care would be provided to prevent worsening of diabetic foot.