Before Reagan, it was realistic to think that the USA would have a health care system. Nixon nearly supported one in a “grand bargain” type of thing. But Reagan came to power by casting suspicion on nearly every aspect of government but the military. His heirs control both parties.
The last real legislation that passed in the USA was health insurance reform, nearly 15 years ago, which cost every ounce of Obama’s soft power (and spirit, and energy) and the racist electoral backlash led to the fascist USA of today. Propaganda still paints that as a government takeover.
In addition to the propaganda-cultivated cultural barriers (Reagan deregulated the airwaves), our Supreme Court has legalized most political bribery under the theory that it is “free speech.” Even our most liberal politicians are dependent to some extent on corporate funding.
Add to this the global far-right surge that unfortunately is victimizing yall over there in Europe, too. Fascists oppose universal health care because they don’t want the people they’d rather be dead to have it.