As an American professor who has taught classes at a well-known French university in which both European and American students were enrolled, Imustmention the cultural factors at play.
Certainly, I acknowledge that a large number of Americans suffer from anxiety attacks when it comes to the costs of expanding Medicaid and the imposition of taxes on benefit-packed Cadillac insurance policies, just as I understand that many are highly allergic to the very mention of government telling us that we must buy a health insurance policy.