Some Americans have optimal health care. They have a well-trained primary care physician of their choosing who provides continuity of primary and preventive care. When the need arises, they are referred to a specialist and/or hospital chosen by them and their primary care physician. They have ready access to all available diagnostic and therapeutic procedures, including newer medications that may be very expensive. In the 1970s and 1980s, most Americans with employer-provided indemnity insurance or Medicare had access to optimal health care, as defined above. Some Americans still have access to this optimal health care with minimal out-of-pocket expense.
Dalen JE. Health Care in AmericaThe Good, the Bad, and the Ugly. Arch Intern Med. 2000;160(17):2573-2576. doi:10.1001/archinte.160.17.2573