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The steps others have already successfully taken in other countries. Even when the contexts are different, there is often something to be learnt by looking at previous battles.
Some starting points:
There are other sources of data in this international comparison but I think ultimately it's about looking at this graph and figuring out what the biggest policy differences are: Health System Comparison OECD life expectancy vs cost
Thanks for the helpful links! Some of the comparison charts are pretty grim for the U.S.
Are you aware of any sources on the ins and outs of public support for universal care when it was being implemented in other countries, or the political climate? I think knowing the destination is one thing, but getting there is more what I was focused on when talking about a pathway.
I guess that's sort of the problem here, I want to but this is not my area of expertise and it happened in my country too long ago for me to tell you much first or second-hand about specific events. Wikipedia is already a far better source for social context info on the events than most people will ever be, because for most places it was so long ago. That's why I think it's important to directly ask the historians / data analysts of the other countries, and the experts in comparative global health policy exactly the same question.
You have asked a really good question and you need good answers from people who really know the topic well.