>Quality of health service depends on how much wealth a country creates to afford the service. If wealth is sufficient then even formally >uninsured people will be Ok. If wealth declines, i.e. not sufficient then enrolling everyone to some kind of universal coverage will still >leave them with miserable service.

OK but this seems not to apply to US, one of the wealthiest countries in the world. We help so much other countries but we do not fix the problems we have in here. Also, I tend to think western european quality of life is better.