I don’t know about health care but a lot of stuff in the US is set up for megacorps and individuals but nothing in between. As an individual you can easily get a self funded 401k plan. As a small business you basically can’t.

Of course the US still biases towards megacorps who get to do things like distribute dividends taxed at capital gains rates instead of ordinary income like sole proprietorships.

The thing is what you can't get a non-fancy Kaiser Permanente in a such places.

Between a fully capitalist American model or a [fully capitalist in all but the name] Chinese one I chose %he one where I can get a basic level without it just by being a citizen.