What aspects of the current U.S. health insurance system are working efficiently and effectively?

Are costs being minimized? Has the cost of health care gone up at a lower rate than other costs? Are increasing numbers of people getting access to the care they need? Is coverage expanding? Are fewer and fewer people going bankrupt because they can't afford their health care costs? Are employees all talking about what a joy and a pleasure it is to have employer-provided insurance? Are employers generally happy with the health care plans they provide to their employees? Do people in managed care plans have freedom of choice about what doctors to see? Is it easy for them to locate, make an appointment with, and receive insurance coverage for the physicians of their choice? Do insurance companies have a good track record of making payments promptly and efficiently, with a minimum of paperwork and other red tape? Note: This is a question about the current system, not any proposed or past system. I want to know, with supporting evidence, what is working well RIGHT NOW.
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Are costs being minimized? Has the cost of health care gone up at a lower rate than other costs? > > > Without looking at anything other than my personal experience, I know that costs for me are going up. A follow-up visit to my doctor after pneumonia for less than a ten minute visit was $99.00. My first two visits for that were $217 and $192 respectively and again, I didn't see the doctor for more than fifteen minutes either visit (though I was in the office for a while). Are increasing numbers of people getting access to the care they need? Is coverage expanding? >>> Again, from my own experience, people I know are either covered by their employee plans, or have no coverage. Are fewer and fewer people going bankrupt because they can't afford their health care costs? >>> From the information I have read, medical bills are the reason most people still have to declare bankruptcy. It wouldn't be fewer people going bankrupt because they can't afford health care bills, but more. Are employees all talking about what a joy and a pleasure it is to have employer-provided insurance? The insurance I have is okay. The family deductible is still $1000 and our prescriptions run a couple hundred dollars (or a bit more) per month. Are employers generally happy with the health care plans they provide to their employees? >>>> I think small businesses are very unhappy with the health care plans they provide because they can't get very good plans without exorbitant premiums. Larger employers can, by virtue of numbers, get better deals. Do people in managed care plans have freedom of choice about what doctors to see? Is it easy for them to locate, make an appointment with, and receive insurance coverage for the physicians of their choice? >>>>>>> I think it depends on the particular plan. Do insurance companies have a good track record of making payments promptly and efficiently, with a minimum of paperwork and other red tape? >>> I would think not, and from personal experience, there are many hoops to jump through to get coverage.
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