It's not just choice but access. The access to see a specialist without waiting months. The access to see a different provider if you don't like your care. The access to pay cash for services. Choice is also underrated.

Those same people you say can't afford healthcare are the ones that are heavily subsidized by others through ACA, free community health plans, or Medicaid.

Healthcare is not a commodity despite your claim. It requires labor.

It seems most people are generally satisfied with their health insurance in the USA as opposed to the UK (see links below). In fact, the satisfaction from employer provided healthcare was much higher pre-ACA than it is currently. The middle class got shafted with increased premiums and deductibles to help subsidize those with low income. This has led to lower healthcare utilization rates in the middle class. The rich don't care since it's a marginal cost relative to their income/wealth. And, the biggest spenders (elderly) don't care since they are mostly on Medicare.

Most of the countries that report high satisfaction with their socialized medicine are both rich and have a low population count.

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https://www.kff.org/private-insurance/poll-finding/kff-surve... Most insured adults (81%) give their health insurance an overall rating of “excellent” or “good,” though ratings vary based on health status.

https://www.nuffieldtrust.org.uk/news-item/public-satisfacti... Overall public satisfaction with how the NHS runs now stands at 24%