Many countries have a tax on Goods and services, Canada is one, part of which goes to funding public health care. It would seem to be a good place to start. I do not think that the geographic size of America is the problem, Canada is 34 % larher, yet it manages to have a national health programme which is supported by 30 million people. I think a country muist believe that it has certain moral obligations to the citizens. America seems to lack that ethic and relies more on the survival of the fittest.