Coming out of the pandemic the US had one of the best looking economies.
You sure about that? A devastating health care crisis with life expectancy of an African country, poverty and violent crime rates 5-10 times higher than many industrialized nations, an employment rate more than 10 percentage points below the top countries, rampant homelessness, a staggering prison population, massive public debt, crumbling democratic institutions...
Above average, sure. The Trump admin made things significantly worse, sure. But if there ever was a time when the US had "one of the best-looking economies," it was many decades ago.
Systemic issues that have gone largely unaddressed (by Democratic admins) or have been exacerbated (by Republican admins). And the economy has suffered as a consequence.
In fact, several universal health care systems rely less on public health care spending than the US system does.