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It really depends on what you mean by "standard of care".

Yes, there are a lot of people without coverage in the USA, and there are a lot of people in deep medical debt.

However, when it comes to the actual quality of the healthcare facilities, the USA does have some of the best in the world (CHOP, UPenn, Mayo Clinic, etc.). The fact that it's extremely expensive/overpriced is a different issue.

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It’s just distributed weirdly and almost designed to be difficult to navigate.

If you’re poor and in a blue state you get free healthcare comparable to the rest of the developed world. But go over the 30k/year threshold and you’re getting a high-deductible plan and a random number generator for a hospital billing department. Then once you get a job at FAANG and you get great healthcare.

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