Hmmm - perhaps the private market (as represented by S&P) doesn't think that providing universal health care is a recipe for governmental fiscal disaster.
Now, I will be the first to point out that correlation does not equal causation (well, perhaps I'll be the second, after xkcd):
But, the U.S.'s long-term budget problem is composed almost entirely of increasing health care costs, espeically for the elderly:
|Note: the original purpose of this chart was to show how the budget balances itself if Congress does nothing, but it also shows what a large part of the budget healthcare costs are projected to become.|
In addition, the U.S.'s health care system is astoundingly inefficent compared to all of these universal coverage systems:
It's very easy to imagine a world in which Medicare grows to fill the role that the universal coverage schemes in the AAA countries do, while at the same time ruthlessly working to control costs, just like the universal schemes in the AAA countries do. That would go a long way towards putting the U.S. back on the road to fiscal health, as well as granting adequate health care access (and all the concomitant health, economic, and social benefits) to the 44 million Americans who lack health insurance and the 38 million Americans who are under-insured.