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Because Americans are individualistic and already hate taxes, nobody wants an extra 30%-50% of their paycheck to go into the pockets of the government (in comes freedom of choice). Though I do think we should have a more robust"safety net" healthcare system for those who can't afford, but the issue is the US is massive and costs vary state by state (just like minimum wage does) so it would be in the hands of the state government. European countries have the advantage that they're small in comparison to the US that they have a more collectivist mentality and the benefit that the cost of living/wages are more balanced than in the US too.