Someone told me this a few years back and it stuck with me.
"American healthcare is the best in the world like sportscars- Ferrari, Lamborghini, BMW, Bugatti, etc. are the best cars in the world. Surely they both are the bests in the world- but only for the small percentage of people that can actually afford them."
This is sad.
(Many, including me, wouldn't buy a sportscar even if they could afford one, and sportscars aren't the "best" in their opinion. But this comparison drives the point home.)
I think you're mostly right. Although there are exceptions. Consider to opioid crisis. That's a case where profit motive directly leads to poorer quality care.
Regardless of that, high quality care isn't much good if you can't access it.
The American system’s problem is exclusion, not quality of care. If you get care in America, your outcomes are among the best in the world.