If I'm not mistaken Germany has their own problems. They listed pretty far down on that list compiled by the UN World Health Organization, too, albeit not as far as the United States. And indeed, at least they manage to provide 'universal' health-care coverage. Whether or not true universal coverage is possible under anything other than at least single-payer or socialized medicine is debatable.

I think a system emulating something closer along the lines of mixture reforms like in Japan or Germany is more politically likely in the United States than say the very progressive and nationalized system France has. France definitely decided to go the nationalized non-profit route, and constant democratic pressure from French people are keeping it the number one top rated system in the world.