How do the real poor in America see a doctor?

Looking at the situation of medical security in developed countries around the world, the United States can be described as "unique" because it is the only developed country that has not achieved universal medical security. Since taking office, US President Barack Obama has been committed to health care reform. Even though he admitted in an interview with the media that "most people are still skeptical about medical reform", the US government has been on the road to reform, and medical reform is difficult. American medical insurance is mainly in the hands of private enterprises. Statistics show that more than 80% of American civil servants and 74% of employees in private enterprises buy private medical insurance for themselves and their families, which is one of the reasons for the rising medical expenses in the United States. The U.S. government hopes that this medical reform will solve the fundamental problem for 46 million people who are difficult to see a doctor. It is not difficult to see a doctor, but it is too expensive. It is not difficult to see a doctor in America, but the medical expenses are high. As a developed country, it is understandable that the medical level is advanced, the medical innovation is frequent, the service level is top-notch and the medical consumption is high. However, at present, the United States does not have a medical insurance policy that can cover all the people, so that citizens can enjoy the welfare policy of seeing a doctor (most developed countries regard seeing a doctor as a national welfare policy), which is really hard to understand. After all, such high medical expenses really bother many ordinary Americans. American commercial medical insurance is one of the most developed markets in the world, because the American medical security system is mainly based on commercial medical insurance. The US government only establishes public medical insurance for the elderly, the poor, veterans and some children who account for 30% of the American population, and the rest of Americans can only participate in commercial medical insurance. Part of the medical insurance fee will become the profits and dividends of commercial medical insurance companies. Medical expenses will rise with the increase of insurance costs. From this point of view, the cost of insurance will inevitably increase sharply because of the wider coverage of medical care, and the medical expenses will also increase accordingly. The American media called it a spiral of medical expenses. How to see a doctor is inexpensive and affordable for the whole people is a major issue before Obama. As a "people-friendly" president, he has the responsibility and mission to solve problems related to people's livelihood. The huge fiscal deficit in the United States also seems to be urging Obama to carry out health care reform. According to the information obtained before, the proportion of medical expenditure in GDP in the United States is 17%, and it is expected to reach 25% in 2025. Zhao Meixin, a Chinese American Congressman, recently told a public hearing in Duarte that most of the participants supported the health care reform in the United States, but questioned the funds. Zhao Meixin said that medical reform will not increase the government deficit, and the solution to the funding problem is to improve medical efficiency and increase taxes on the rich. Some people say that the United States is divided by an invisible line. The name of this line is "medical reform". Since the last century, the medical reform in the United States has gone through more than 60 years, and every reform inevitably ended in failure. This is all related to the behind-the-scenes lobbying of interest groups touched by American medical reform. When Obama participated in the presidential campaign, he held high the banner of American medical reform and spoke out for the people. According to common sense, the American people's support rate for medical reform should be increasing day by day. After all, everyone has seen Obama's determination to make drastic reforms. However, the latest survey shows that the American people's support rate and recognition of Obama's medical reform have declined, and the support rate has dropped to 57%. Krugman, the Nobel laureate in economics who gave his life for "medical reform", is full of confidence in Obama, but he also admits that there are many obstacles in medical reform. Even if Obama's belief in medical reform is very strong, and even vows to "give up re-election and carry out medical reform", the road to medical reform is undoubtedly tortuous and the process is long. The public supports the policy of the US government and expects to establish a state-run non-profit insurance institution, which will have a huge commercial impact on private insurance companies. The profit margin has shrunk and the market share has been swallowed up. Private insurance companies will indeed be hurt by medical reform. Because the goal of the Obama administration is "wide coverage" and "low cost", the ultimate goal is to provide "affordable" medical insurance for all Americans. Who can "sacrifice his life for justice" for this medical reform and pay for it has become the most concerned issue at present. Even though the American people support American medical reform because they are the ultimate beneficiaries, the lack of funds of the American government and the strength of American interest groups have reduced people's recognition of medical reform, and we have also squeezed a cold sweat for Obama. The policy direction is good, even if * * and the party oppose it; The purpose of the policy is gratifying, because Americans themselves benefit. However, where did the money come from? An invisible fist of the damaged interest group, like a cow across the mountain, directly hit Obama's soft spot. Most of American medical insurance is paid by enterprises, which has caused a great burden to enterprises. In eight years, the increase of medical insurance expenses in the United States is 3.7 times that of wages. In this financial crisis, how many enterprises fail at a loss but still have to bear medical insurance for their employees? However, neither Obama nor Congress gave us a clear answer on how to expand medical insurance coverage and reduce medical consumption expenditure. Americans have always been famous for their independence, free competition and the values of "I am the master of life". In the final analysis, the so-called fairness in the eyes of Americans is to believe in the values of equality for all regardless of position and social status. For ideological and political reasons, it is not groundless for the Chinese Communist Party to say that American medical reform "will destroy American values and lifestyles".