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Imagine the entire private healthcare industry collapsing under the weight of unpayable medical debts.
To be honest I don't think this is a very good metric. It's a combination of something good (number of people insured) and something bad (debt per insured person).
As an example, if you increased the number of people with insurance, and reduced the debt per uninsured person, you'd expect this to happen.
Not to say that things have actually gotten better, just that we should use more meaningful metrics.
The good and bad things are related though - what good is health insurance if it doesn't pay for healthcare? It says a lot that Americans who buy insurance like they're supposed to still can't afford to use their own country's hospitals.
