> Americans intuit that it’s not

Any evidence for this?

Your comment and GP? Both predicated on separating “high chronic disease burden” from “poor healthcare system performance.”

I don’t think this is a broadly held belief, I think it’s the “eeehhrm actually…” contrarian belief that’s trying to discredit the consensus view that our healthcare system gets very poor results for the money. So it shows up in places like this exact HN thread.

Sounds as though you're now not saying that Americans as a group think that. That's good.