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Mike Moschos's avatar

Eloquently written. Although theres something in there about one of the subjects, in the case healthcare, I always like to point stuff out on because I think it important to do so. Health spending in the USA, as a share of GDP (which is a bs number but it useful for comparing like things as proportions of total spending between coutries) we spend almost 17% of GDP whereas the OECD average is just below 10%. the ones just beneath in spending are less than 12%, so something is wrong, but Duty to Care, according to the American Hospital Association and others, and these are groups that have an incentive to give the number as big as they can because they give it looking for gov aid for it and to explain away their high prices, well, In 2020, uncompensated care costs were estimated at $42.67 billion (AHA), but the difference in share to GDP mapped to our GDP is about 1.6 trillion more than the average and about 8 billion more than the second highest spender by share of GDP, so even if theres all stuff that makes us more expensive that isnt structural corruption and we give a conservative estimate thats much lower, we'd still have some sizable multiple of Duty to Care that we're getting ripped off by. I only nitpick here and say this because I think its important and we're all getting ripped off in a serious way, if you see the bills and you think also about the big picture of how much lower taxes could be and other things that the gov could spend on and so on, its not a normal ripping off, its an exceptionally excessive and damaging ripping off

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Richard C. Cook's avatar

Thanks. Very eloquent.And true. I tried to express it my own way in much simpler fashion but the point is the same. Please take a look here.

https://www.amazon.com/Our-Country-Then-Richard-Cook/dp/1949762858

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