You're not looking very hard.  And, btw, a "horror show" is when a citizen cannot get their basic as well as critical health care provided with their own tax dollars.  When I was visiting in the States two gynocologists (one of whom charged me $200 to open a new file because I was just visiting and she hadn't seen me before) were unable to diagnose the very common condition of menopause.  On my first trip back to Toronto, my endocrinologist ran a blood test when I suggested I might be in menopause, et voila, the diagnosis was confirmed.  The American health care system is still a bit of a horror show, but at least now many more (millions more) Americans have access to health care than before the Affordable Care Act.  Once they duplicate the Canadian single-payer system and sweep the insurance companies out of the picture, Americans will begin to experience what high-quality health care is.