Yes in the strictest sense of the word "we" have it. If my neighbor can't pay for it and everyone else refuses to pay for it, my neighbor doesn't have it. If my neighbors have health insurance but can't afford the copay so they have to let smaller problems become life threatening, they effectively don't have it.
It's like you are celebrating a system that didn't take much out of you to give seriously dehydrated people water while conveniently neglecting the result that giving them a bottle of water either made them destitute or prolonged their lives by a small amount. You also conveniently neglect that many first world nations manage to have universal healthcare and spend less per person than us. I will say this though, if you are rich there are very few better places to be for healthcare than America. Hoorah, what a great system; what a great quality of life for everyone!
It's not entirely clear that American healthcare is much better, even if you can afford it, unless you're talking about, like, stratospheric levels of wealth.
It's like you are celebrating a system that didn't take much out of you to give seriously dehydrated people water while conveniently neglecting the result that giving them a bottle of water either made them destitute or prolonged their lives by a small amount. You also conveniently neglect that many first world nations manage to have universal healthcare and spend less per person than us. I will say this though, if you are rich there are very few better places to be for healthcare than America. Hoorah, what a great system; what a great quality of life for everyone!