On our current trajectory, "who pays" isn't the most pressing issue. Suppose Medicare for All does save 10% as the article claims, if the cost just keeps rising then it only buys a little more time before no entity can foot the bill.

100 million people in the US have diabetes or pre-diabetes according to the CDC.[1] Diabetes costs $14,000/yr(?) and people are getting it at an earlier age and living longer. Of all the threats to the US, this one is particularly insidious.

There is also the concern that big pharma (along with big-sugar/corn) has too much influence over congress. The U.S. is the only country besides NZ to allow direct to consumer drug advertisement. That fact alone makes me lose faith in the government. Is it prudent to give more power and money to our government when they appear to be complicit and bereft of root cause solutions to address the rising cost ? Bloomberg, as NYC's mayor, seemed like the only politician who was willing to pass unpopular and extreme legislation by way of banning or limiting certain foods.

[1] https://www.cdc.gov/media/releases/2017/p0718-diabetes-repor...