Could it be that some of the "40 million Americans" could be uninsured by choice? The National Center for Policy Analysis : http://www.ncpa.org/pub/ba/ba379/
You can do a Google search for "uninsured by choice".
On another note, it's instructive to notice that Europe has now become am amoral postmodernist pleasure swamp, where holidays for bureaucrats are more important than dying seniors. Chirac came back well tanned after 10,000 had already died.
Thank God I live here, where we value the freedom to DO more than "freedom" from life's potential dangers. Europeans have socialized risk out of their societies, and have thus created an idealess wasteland of welfare beggars and snotty intellectuals.
America is where it's at. This is where it all happens, because we are not afraid of risk. Socialism IS failure. Like you didn't already know that...