Universal healthcare systems are inefficient  One of the countries lauded for its universal health care is France. So what has the introduction of universal coverage brought the French? Costs and waiting lists.  France’s system of single-payer health coverage goes like this: the taxpayers fund a state insurer called Assurance Maladie, so that even patients who cannot afford treatment can get it. Now although, at face value, France spends less on healthcare and achieves better public health metrics (such as infant mortality), it has a big problem. The state insurer has been deep in debt since 1989, which has now reached 15 billion euros. [1]  Another major problem with universal health care efficiency is waiting lists. In 2006 in Britain it was reported that almost a million Britons were waiting for admission to hospitals for procedures. In Sweden the lists for heart surgery are 25 weeks long and hip replacements take a year. Very telling is a ruling by the Canadian Supreme Court, another champion of universal health care: “access to a waiting list is not access to health care”. [2]  Universal health coverage does sound nice in theory, but the dual cancers of costs and waiting lists make it a subpar option when looking for a solution to offer Americans efficient, affordable and accessible health care.  [1] Gauthier-Villars, D., France Fights Universal Care's High Cost, published 8/7/2009,  , accessed 9/17/2011  [2] Tanner, M., Cannon, M., Universal healthcare's dirty little secrets, published 4/5/2007,  , accessed 9/18/2011