Let start with why the US health system gets lower grades than the world. We shall start with the self indulgent individual:
Obesity. Just one of many self imposed health risks encounter in the US. This one of many that help account for longer stays and treatment, poor outcomes in recovery. Living healthy starts at home. If you think this bill will flip a switch and provide excellent healthcare and better outcomes you will be let down. The mentality of healthy living needs to be changed before any of that will happen. That will take years upon years to change that attitude. Not sure if these are taken into account on the surveys you offered up Mookie.