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Being in the top 10-15 is great. But that ranking comes with a price tag roughly double the other highest ranking nations. Not to mention the financial ruin and bankruptcies experienced by some survivors, and the financial pressure experienced by virtually everyone that has to engage heavily with our healthcare system.

And there are other metrics to consider. The US is 35th in life expectancy and falling farther behind. And we have notoriously bad rates of maternal and infant mortality compared to other wealthy nations.

I've heard before that it's a split distribution. The quality of healthcare & outcomes in the US is some of the worst in the world, if you are poor. It's some of the best in the world, if you are rich. Or so I've been told.

For example I was taught that a big part of why our maternal mortality is high, is because new mothers who are poor do not or cannot follow up with their doctor in the days after release from the hospital if something isn't right, e.g. when bleeding fresh blood instead of clotting. Visits to the doctor are expensive, and various barriers (such as language) may have prevented them from being educated on when to come back for help.

Absolutely. If you slice up the demographics in the right way you could find very large populations in the US that have among the best health outcomes anywhere in the world, such as the entirety of New England.

Im not saying it's good compared to other wealthy nations, the initial comparison was to the soviet union

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