Why can't the U.S. have a Health Care System like Africa's Millennium Villages?

"Breakthroughs in Health in the Millennium Villages - Co-authored with Sonia Sachs and Prabhjot Singh -

In Africa's Millennium Villages (MVs), local communities are taking many actions in health care, agriculture, education, and other challenges to achieve the Millennium Development Goals. Their hard work is paying off. In just three years, the mortality rate among children under five dropped by 22 percent. This pace is three times faster than national trends in the rural areas, and is fast enough to achieve the Millennium Development Goal for child mortality (MDG 4). These results, detailed in a Lancet study published today, reinforce the global effort to build effective, low-cost, community-led health care systems that can end millions of deaths of young children and pregnant women each year.

The Millennium Villages are representative of the most impoverished settings across sub-Saharan Africa, where the rate of child mortality is fifteen times higher than in developed economies. High child mortality is caused mainly by diarrhea, pneumonia, malaria and HIV infection, all made more severe by under-nutrition, and from unsafe childbirths taking place at home without skilled personnel. These conditions go unsolved because of weak and under-financed health systems. The Millennium Villages strategy is to build a highly effective, low-cost health system to address the range of infectious diseases, nutritional deficiencies, and risks related to childbirth.

The new Millennium Village health system is starting to show notable results. Together with advances in food production and other related areas in the villages, the MV health system shares credit for the rapid gains reported today in the Lancet. Across the 9 countries included in the Millennium Villages Lancet study (Ghana, Kenya, Malawi, Mali, Nigeria, Rwanda, Senegal, Nigeria, Tanzania, and Uganda), five elements of the new health systems are re-defining what is possible in rural poor settings in sub-Saharan Africa:...." - http://www.huffingtonpost.com/jeffrey-sachs/breakthroughs-in-health-i_b_1498330.html

***********

Article above talks of Community Health Workers, Procedures and Decision Support, Mobile phones for health management, Low-cost devices for disease detection and management, Verbal Autopsies and Management Responses. 

 Why can't the U.S. have a healthcare system like this?

Comments?