Health care in the States is like pretty much everything else in the States. If you are extremely wealthy, it has the best health care, best education, best (insert whatever here). If you're not part of the ultra-wealthy though, the standard drops so far that it drags the overall levels to well below that of virtually every other wealthy, western, developed country.
That is the paradigm of the USA. It's the best, but it's also the worst. Aspiring to be part of that "best" grouping is for all intents and purposes the "American" dream.
I'm a dual citizen btw. I was born in Canada to an American dad and a Canadian mum. I lived in Canada until I was 25, and have lived in the States for the last 10 and a half years. The two countries are so similar, yet at the same time, so different. There is, what I consider, a very odd fear of government in the USA and an even more odd resistance to progression in areas like health care.
I can't help but sit back and laugh at what happened down here with Obama's health care plan. I have health insurance here, but I am not a wealthy man. I mountain bike avidly, and I've often joked to family I have down here, that unless my injuries are absolutely life threatening in a bike crash, get me a bottle of whisky some painkillers and drive me 12 hours back to British Columbia. The joke is, it's not a joke.
What the rest of the western developed world takes for granted regarding health care, many in the US look at it with suspicion, as an expansion of government power, and as socialism/communism. I happen to live in a small town in central Oregon, and yes, the people here are that dumb that they think a single payer universal health care system is tantamount to communism, and big government spying on them.