Fezzy is 100% right. Too bad I am the first person to come to his defense in this thread (also the first non-European or liberal to post here)
I live in a town where the median family income is around $80,000 with <4% poverty. That pretty much describe your typical middle class American town.
I wouldn't call a town with a median family income of $80,000 middle class. Then again, if you live in an area with a high cost of living, that could very well be middle class.
Let me say this, every country needs a different system to suit it's culture, needs, demographics, etc. There is no reason to overhaul the health care system when a vast majority of Americans have and like their insurance.
I read an interesting article today on how Vermont reformed their health care system. Coverage wasn't universal, but there was no government insurance, it was deficit neutral, with it had good results.