Le système de soins aux Etats-Unis : le mal de tête américain

America is the only rich country that does not guarantee universal health coverage. Instead, there is an interlocking mosaic of programs, some federal, some offered by the states, some provided by private insurance companies. This system is more or less successful, highly complex and it leaves many without sufficient coverage.
Mickael Moore's latest film, entitled Sicko, underlines the gravity of the situation in the USA, as people cannot afford their own private insurance and enter a vicious circle as they get ill.
For example, they have to choose between two operations, they have to face debts while in Guantanamo, America's worst enemies are better cured.
How social protection in the US works? Most social programs provided today date back either to Franklin Roosevelt in the 1930's or to Johnson in the 1960's. Both these Democratic presidents had declared war on poverty by setting up a sort of safety net for the poor and the needy.