Americans borrowed $88 billion in 2018 to cover their healthcare, putting yet another number to the argument against the private insurance system as the best provider of care and making the case for universal healthcare even stronger.\u0026nbsp;That\u0026#039;s not all. 45% of U.S. adults fear a health issue could push them into bankruptcy—and 15 million Americans delayed purchasing medication to save money last year.\u0022Someone is making money off dysfunction,\u0022 said\u0026nbsp;New York Times editor Patrick LaForge.Someone is making money off dysfunction https://t.co/T6Y0m0nyac— Patrick LaForge (@palafo) April 2, 2019A\u0026nbsp;Gallup survey, conducted with the healthcare nonprofit West Health, revealed striking numbers about the American healthcare system on Tuesday as part of a wide ranging report, The U.S. Healthcare Cost Crisis. The key findings include, per the document:Americans express great concern about the individual\u0026nbsp;and collective impact of healthcare costs.Healthcare costs lack transparency.Despite poor outcomes, many Americans insist on the supremacy of U.S. healthcare.Americans\u0026#039; perceptions of quality diverge along partisan lines, but individual\u0026nbsp;experiences and pessimism around bipartisan solutions are aligned.Americans can’t afford to make good health a priority.\u0022Sadly, these latest figures do not come as a surprise: this is how we\u0026#039;ve designed our healthcare system,\u0022 Dr. Adam Gaffney, president of the group Physicians for a National Health Program, said in a statement. \u0022The privatized, fragmented US healthcare system invariably means patients putting off needed care, avoiding the doctors\u0026#039; office or emergency room, skipping dosages of medications, as well as contending with bills, collections agencies, and even bankruptcies.\u0022\u0022Private insurance is the original sin of our system,\u0022 said Gaffney, \u0022and a sweeping overhaul of healthcare financing by way of single-payer reform is the solution.\u0022The report found that opinions on healthcare quality in the U.S. vary by partisan affiliation. 67% of Republicans believe the U.S. system is the best in the world, but only 38% of Democrats think the same. What\u0026#039;s bipartisan, the research shows, is the cost and outcomes of the system.\u0026nbsp;\u0022While there may be a great political divide in how highly Republicans and Democrats perceive the healthcare\u0026nbsp;system at large,\u0022 West Health chief strategy officer Tim Lash said, \u0022there is very little that separates the groups when it comes to the real-life consequences of the\u0026nbsp;high cost of healthcare on their everyday lives.\u0022Gallup senior researcher Dan Witters agreed.\u0026nbsp;\u0022The impact of out-of-control healthcare costs is indisputable, although Americans\u0026#039; feelings about their\u0026nbsp;healthcare system are complicated and at times conflicted,\u0022 said Witters. \u0022At a\u0026nbsp;macro level, large numbers think healthcare in America is among the best in the world, but on an individual\u0026nbsp;basis, most agree they are paying too much and getting too little in return, and they are worried not only for\u0026nbsp;themselves but for the country.\u0022The report\u0026#039;s data was cited by advocates for universal healthcare.\u0026nbsp;\u0022This is, again, a crisis that can\u0026#039;t be fixed by tweaking private insurance plans that leave patients vulnerable to unscrupulous out-of-network ER doctors and fraudulent hospital billing,\u0022 advocacy social media account All on Medicare tweeted. \u0022A nation where individuals fear the ER is one at risk of a major public health crisis.\u0022This is, again, a crisis that can\u0026#039;t be fixed by tweaking private insurance plans that leave patients vulnerable to unscrupulous out-of-network ER doctors and fraudulent hospital billing. A nation where individuals fear the ER is one at risk of a major public health crisis.— All On Medicare (@AllOnMedicare) April 2, 2019\u0022Americans borrowed $88 BILLION last year to pay for health care,\u0022 said Rep. Pramila Jayapal (D-Wash.), the lead author of the House Medicare for All bill. \u0022This is devastating for our families and our country.\u0022\u0022#MedicareforAll ensures that NOBODY has to borrow or beg for money in order to cover health care costs,\u0022 Jayapal added.\u0026nbsp;Americans borrowed $88 BILLION last year to pay for health care. This is devastating for our families and our country. #MedicareforAll ensures that NOBODY has to borrow or beg for money in order to cover health care costs.https://t.co/j1r9mLkHXP— Rep. Pramila Jayapal (@RepJayapal) April 2, 2019Progressive group Justice Democrats said that the report adds to the case for a universal system.\u0026nbsp;\u0022In the richest country on earth, thousands of people use GoFundMe as their healthcare plan,\u0022 the group tweeted. \u0022We need Medicare for All.\u0022In the richest country on earth, thousands of people use GoFundMe as their healthcare plan. We need Medicare for All. https://t.co/VraBtMRFZW— Justice Democrats (@justicedems) April 2, 2019This piece has updated to include comment from PNHP\u0026#039;s Dr. Adam Gaffney.