Or at least you would think it should from this simplified analysis. Early campaigning by both the Obama and Romney camps has consisted of sniping at each other's economic records (Romney was a Governor of Massachusetts). The attempts to reform the US's bureaucratic and expensive health care system have also dominated debate in the last 3 years, but since even Romney tried to reform it in Massachusetts it may become more an argument on specifics rather than principle. Insurance funds nearly all hospital care in the US; those who don't have insurance are treated as charity cases by the hospitals and the taxpayer ends up paying for them anyway.
Government in the US (both Federal and State) spends around 39% of GDP, a bit less than NZ (41%) but more than Australia (35%). The problem is the gap between that and tax revenue - and the political unwillingness to raise taxes to match.
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