Apples and Oranges

It's a well-worn discussion that Europe and the United States have problems with their health care systems. However I'm not sure if I agree with Ezra Klein in the value of choice in our health care system. He argues in favor of the French system because it has lower debt. Yet let's look to the future. What about the millions of second and third generation immigrants? How will that affect French industry? Is it enough to argue that Medicaid/Medicare have crippled the American health care systems and not predict problems for the French system in the comparison? Dale Franks argues that the American system may still be preferrable over the French and German health care systems, but all are not satisfactory. He is right in the differences between the two systems. However, to group the two countries is not the best idea either. France is a top-down bureacratic state and German is a federal state. Neither will translate directly to the American liberal economy.