Why do we need Health Care Reform in the US?

When we think of healthcare reform in the US, things that come to mind are the rising cost of healthcare, how the US spends 15% of its GDP on healthcare: the highest in the world, the growing number of uninsured, or how the doctors are burdened with unnecessary paperwork etc.

Everybody from politicians to laymen agree that something needs to be done about it. Everybody has a reason to make changes to the system be it political, economic or medical. And this last year has been spent talking about how to reform a broken system. But lost in all of this din is one essential question. Is there a moral responsibility on the part of any government to provide good and affordable healthcare to its citizens?

TR Reid, in his book, The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care, asks that question. He writes

Those Americans who die or go broke because they happened to get sick represent a fundamental moral decision our country has made. Despite all the rights and privileges and entitlements that Americans enjoy today, we have never decided to provide medical care for everybody who need it. In the world's richest nation, we tolerate a healthcare system that leads to a large number of avoidable deaths and bankruptcies among our fellow citizens. Efforts to change the system tend to be derailed by arguments about "big government" or "free enterprise" or "socialism" .... and the essential moral question gets lost in the shouting.