Well these countries have the balls to negotiate with drug companies and medical equipment suppliers and the like, so costs are much lower than here in the states in which politicians suckle at the teat of said companies. Until congress gets a backbone, our costs are always going to be high. That is why the Republicans health care plan is no better, but overall worse than the ACA.

And there is only a small percentage in the US that doesn't contribute. There are a vast more people working than not working.