Inept management is always a problem in any system, private or public. But I have never seen any indication that the system in the USA which excludes millions of its citizens, is any less liable to poor management than the universal health care systems which all other wealthy countries provide.

"You would have no problem with emergency care, you can go to any emergency room and it would be against the law not to treat you." How about when some poor person needs a heart transplant, a double mastectomy, or a hip replacement, and isn't covered by insurance - or in insured with a company that finds a way of weaseling its way out of accepting responsibility to cover such treatment?

"...those who cannot afford health insurance" is a category that potentially includes millions of people currently in good jobs with good insurance cover, who could find themselves losing all that overnight through no fault of their own.

Walking through life on a tightrope can't make for restful nights.