And of course, the United States is the only industrialized country without some form of universal healthcare. Even after years of Affordable Care Act expansion, roughly 8 percent of Americans (nearly 27 million people) were uninsured in 2024. That figure is predicted to rise this year as Republicans roll back ACA supports, including enhanced subsidies. Worst of all, despite spending the most on health care, the U.S. ranks last among wealthy nations on numerous health outcome measures. American well-being, according to the 2026 Global Social Progress Index, lags behind former Communist Balkan countries and all of its G7 peers. The decline in quality of life is a distinctly bipartisan problem that no leader has addressed.