How many civilized countries are there in the world? How do you define civilized?
There would have to be free and fair elections, freedom of speech within reasonable laws of libel and slander, freedom of religion - and that means being able to change your religion if you want to, freedom from want - not some unreachable definition of relative poverty, but sufficient access to food and shelter, equality before the law, without fear or favor, access to education. Should it include access to health care without impossible impoverishment?
By my reckoning there are very few civilized nations. There are 27 countries in the European Union - not all of them could be described as civilized, and if you added a criterion that public officials must work for the public good rather than in their own interests, then very few of them would make the grade.
Outside the EU there are Norway and Switzerland in Europe.
Outside Europe, the USA, Canada, Australia and New Zealand. As far as I can judge none of the South or Central American states would meet the standards. In Asia, Japan, South Korea and possibly Singapore would be candidates. There are small former colonies which might qualify including Gibraltar, the Falkland Islands and possibly some of the West Indian Islands. There is no African or Middle Eastern country except, perhaps, Israel that is up to scratch.
These thoughts have been prompted by an article in the New England Journal of Medicine by Victor Fuchs
From the late nineteenth Century onwards government's role in paying for health care has increased rapidly. For most relatively rich countries there is some form of national health insurance so that virtually all the population is eligible for health care by a government-organized insurance system. America is different, but even there the government's role as paymaster has increased over the past 50 years so that the taxpayer's share of the bill has risen from 20% to nearly 50% (or perhaps less, depending how you do the calculation). The Chicago school of Economics avers "If an economic policy has been adopted by many communities, or if it is persistently pursued by a society over a long span of time, it is fruitful to assume that the real effects were known and desired." In other words people get what they want despite the unplanned-for consequences.
The most obvious difference between the US and other countries is that the US spends much more on health care whether measured per capita or as a share of the gross domestic product. The US spends 50% more than the next higher spender and twice as much as the average OECD spend.
The reason for this trend is obscure, but it is probably true to say that Americans really do want the system they have rather than a 'European' one. Sure the political system is against change, and special interests have to be humored, but Mr Joe Plumber must like what he's getting. What is he getting? Instant access is one thing. There is no delay for appointments with specialists, blood tests or imaging procedures, or even for treatment. Then there are the front of house facilities. American are more likely to choose a five star hotel-like hospital with mediocre results that an 'ordinary-looking' hospital with excellent results. "I'll have my coronary by-pass with chrome fins, please."
All insurance is redistributive. Large amount of care is used by a small proportion of policy holders and is paid for by the premiums of those who use little care. The difference for a national scheme is that premiums are not assessed on the risk of catching something, but on the ability to pay. Rich people pay more taxes - unless they cheat the taxman - but tend to use the service more. In the UK, you don't get a rebate for using the private sector rater than the NHS.
So why is the US so reluctant to adopt the more redistributive model that Europe, and the rest of the Anglosphere has acquiesced to? Perhaps because America is a nation of individuals rather than communities. I notice that the watchword for most American movies is 'Freedom' whereas in British films, certainly in those made before 1950, that word was 'Service'