We have single payer here in France and we are way less entrepreneurial than the US. In fact most entrepreneurs here hate single payer as it imposes huge taxation on them for something that would be cheap under a private insurance system because most startup founders are young.
I'm not that familiar with France's system that much, but if national insurance is mandatory, wouldn't private insurance be essentially subsidised by it? Which is why you think it's so cheap in comparison. Can you even opt for private only insurance in France? It would be the only way to compare costs.
Don't take it wrong, I agree France is less entrepreneurial, I just don't think healthcare is the reason.
This is coming up as part of the reopening of the healthcare plan debate in the US. The nice framing of flat healthcare insurance pricing is that it "doesn't discriminate against the elderly." But an equally valid framing is that "younger people subsidize older people."
But this question is really at the heart of insurance mandates however imposed. In the absence of such, young healthy people don't want to pay for insurance because they don't really take into account unlikely events and they look at the health care they're likely to need for routine accidents, etc. and the insurance looks far more costly than their expected benefit (and it is).
