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mikepurvistoday at 5:37 PM2 repliesview on HN

Given that reality, I wonder why it is that spending in this category seems to be so much less effective in the US relative to other nations? Why is the US #22 in general quality of life [1], and the bottom of many rankings of health system performance [2]?

Speaking as a Canadian, I wonder if at least part of it is the attitude that investments in these areas are "welfare" and not simply a part of the portfolio of essential services that are delivered by the state to citizens?

[1]: https://www.usnews.com/news/best-countries/rankings/quality-...

[2]: https://www.commonwealthfund.org/publications/fund-reports/2...


Replies

fhdkweigtoday at 5:44 PM

It may just be my cynicism talking, but it seems that it comes down to the power of lobbyists. In the US, the healthcare companies control the government. Elsewhere, the government controls the healthcare companies.

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zahlmantoday at 7:14 PM

> Speaking as a Canadian, I wonder if at least part of it is the attitude that investments in these areas are "welfare" and not simply a part of the portfolio of essential services that are delivered by the state to citizens?

Also speaking as a Canadian, I don't understand the distinction you're drawing.

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