Quote from piezoe:
I firmly agree. You should have the right "to self medicate" and, I might add, be in control of your own medical care. Your rights in those regards are somewhat abridged in the U.S. In the expression, right to access the word 'access' is broadly debated. There is no spelled-out Constitutional right, but there is a germane purpose, to wit: ..."promote the general welfare... of ourselves and our posterity..." Various statutes now exist that do give you some specific legal rights, such as the right to receive emergency treatment without regard to your ability to pay. But constitutional and statutory rights are not the kind of right I was referring to, rather it was to what should be a "self-evident...inalienable right." But this is not so important as the recognition that we will all be better off if we find a way to assure universal access to a reasonable standard of care without undue financial burden.
One of the ways other countries keep medical costs down is to cut out unnecessary steps in accessing care. For example, many countries have prescribing pharmacists. This is a concept starting to creep into some U.S. States, but of course it is fought tooth and nail by the medical establishment, with much the same vigor that big pharma fights importation of drugs by individuals. The chief defense used against all these would-be inroads is invariably "safety" and fear of the hypothetical. It is an effective tactic.
It is not uncommon for those who have had relatively few, and only brief, encounters with U.S. healthcare to believe it's "the best care in the world". On the other hand, those with multiple encounters, those who have been victims of malpractice, and those who travel widely and have spent time living in other countries often see U.S. healthcare quite differently. The more encounters one has, and the more serious the events, the more likely that one will come to view American, health care as flawed. Regardless, there is nearly universal agreement, even among some providers, that the cost is far too high.