soru
The US does spend a lot more, _because_ it doesn't cover everybody.
The use-value of private health care in the the US is:
- delta (getting treated, slow painful death and/or bankruptcy)
whereas most places it is more like:
- delta (private room in fancy building, non-private room in an oldish building)
If you were a salesman, and you sold the first product for less than 5x the price of the second, you would deserve to be sacked on the spot. How could a profit-seeking economic system be so inefficient that it would fail to extract a large portion of that value from the customer?
> he US needs to focus on lowering costs
Why would a profit-seeking system seek to lower costs when high costs led to higher prices that still get paid? Any CEO suggesting such a thing would be sacked by the board the same day.
Do the math; costs are about 3x what they should be, but 85% of the market still pays them. 3 * 0.85 > 1 * 1.0.
Some things governments simply do better; health care is one of them. Denying that fact in the face of the mountain of supporting evidence is nothing but dogma.
A good civil engineer will do that as early as possible, rather than produce pages of engineering drawings blindly. A good civil engineer will calculate the stresses and load factors on a bridge as soon as possible, rather than assume things will work. A good architect will hand a sketch of a building to a client as early as possible, and ask 'do you like it'?
All of those are tests, and the engineering processes in those domains are put in place to ensure that that testing happens as early as possible, before mistakes are too costly to undo.