One of the MAJOR reasons health care is expensive in the US is LAWYERS. Can you say MALPRACTICE? I knew you could. Without TORT REFORM any medical reform is so much wasted effort.
The primary cause of the high cost of the US health care system is the US health care consumer. We run to the high tech and the new without ever stopping to ask if it is efficient or appropriate care. We
fill ourselves up with
unneeded pills. We are ramping up our use of
medical imaging, particularly MRI. All this is going on in a system where the payer never says 'no, that's too expensive' - leading to some doctors costing their patients
far more than others. The patient, after all, recieves his medical care as an 'invisible' part of his salary and is likely to never understand what it costs. Because of the
diverse insurance spectrum, we spent approximately $150 billion filing insurance claims.
More relevant to the initial question: The population of a given society, its health, and its ability to produce both goods and services are critical to a healthy economy. For education and health care type services, then, a countries expenditure should be in accordance to the needs of its population. A highly developed, rich nation is going to need to spend a lot on things like education. It is going to spend a lot on health care - it puts its people in a situation where they are well fed, but not well-worked, physically. There needs to be a certain safety net when we lose our jobs, or are injured in the course of them. And, yes, we do need emergency services, and, well, the Post service is a constitutional mandate in the US.
That said, free handouts... no. But I would not be opposed to what I shall call 'workfare' - government sponsored, short term, unskilled labor jobs.