No... THEY are.... literally.
Germany is the size of Montana, France is about twice the size of Colorado. Their populations are denser. That is one of the reasons. Look at the other countries that are usually held up as examples of the universal care....they are the same.
The other factor is the litigious society we live in. Some on the left want to pretend that the costs of litigation and the defensive medicine that takes place purely for CYA doesn't add to our costs.
People should be able to recover damages, but uncapped 'punitive' damages do little other than raising premiums on everyone.
You forgot that we are also a republic with the soveriegn rights of states to consider and their own unique budget issues and laws.