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Does it really matter how much better it is when you can go immediately bankrupt from a simple procedure? I imagine there is immense pressure and loss of wealth by simple virtue that people probably don't maintain good health but go in when it gets bad enough that going bankrupt is worse than dying or being violently ill with no end in sight.

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You're muddying several issues here. I'm simply stating that the value of a healthcare system in terms of outcomes must be compared to how much it costs. What you're talking about is how the system is financed, which is a different issue.

For example, as a French citizen, I would expect that if we're in the top 5 in terms of spending (regardless of whether it's done privately or publicly), we should have a system that's in the top 5 in terms of outcomes.

I wasn't in any way trying to suggest the US healthcare system is the "best" or whatever, just pointing out that pure cost comparisons are meaningless.

You would hope an increase in cost is correlated to an increase in the quality of care.

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