- Access, Affordability, And Insurance Complexity Are Often Worse In The United States Compared To Ten Other Countries: 2013 survey showed US adults more likely to forgo care because of cost, to have difficulty paying for care even when insured, and to encounter time-consuming insurance complexity. http://content.healthaffairs.org/content/early/2013/11/12/hlthaff.2013.0879.full.html 7 comments politics