

The US system mostly works for a lot of people. There’s not a lot of people willing to risk things getting worse for them so 10-15% of people get something better.
There’s also massive doctor shortage issues that will only get worse with healthcare reform. Even if cost wasn’t an issue, there wouldn’t really be access.


The Euro has a few problems that keep it from being a reserve currency. A big one is that it’s not a centralized currency, since each EU member has their own fiscal policy. This creates a lot of risk with limited upside.
Europe also doesn’t make enough stuff at the international level to need to get lots of Euros. Europe also doesn’t seem culturally interested in being a global reserve and is more content being regional.